Provider Demographics
NPI:1477819472
Name:MATHEWS, AMY ANN (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ANN
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UTSWMC PM&R 5323 HARRY HINES
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9055
Mailing Address - Country:US
Mailing Address - Phone:214-645-2080
Mailing Address - Fax:214-648-9145
Practice Address - Street 1:5161 HARRY HINES CS1 104
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-5389
Practice Address - Country:US
Practice Address - Phone:214-645-2080
Practice Address - Fax:214-648-1459
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3909208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation