Provider Demographics
NPI:1295848331
Name:AMBY, ALEXANDER SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:SCOTT
Last Name:AMBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6333 EAST. MOCKINGBIRD LANE
Mailing Address - Street 2:SUITE 126
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214
Mailing Address - Country:US
Mailing Address - Phone:214-826-6005
Mailing Address - Fax:214-826-6012
Practice Address - Street 1:6333 EAST MOCKINGBIRD LANE
Practice Address - Street 2:SUITE 126
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214
Practice Address - Country:US
Practice Address - Phone:214-826-6005
Practice Address - Fax:214-826-6012
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP00914207Q00000X
TXN9339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine