Provider Demographics
NPI:1366485286
Name:HAASE, AMY LEIGH-ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LEIGH-ANN
Last Name:HAASE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1740 W 27TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1440
Mailing Address - Country:US
Mailing Address - Phone:713-862-3338
Mailing Address - Fax:713-862-8328
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-862-3338
Practice Address - Fax:713-862-8328
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1746213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV06265Medicare UPIN
TX00T49RMedicare PIN
TX8L2638Medicare PIN
TX8D8578Medicare PIN