Provider Demographics
NPI:1497072953
Name:REIF, AMY L (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:REIF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8686 NEW TRAILS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1195
Mailing Address - Country:US
Mailing Address - Phone:713-637-1146
Mailing Address - Fax:626-623-1227
Practice Address - Street 1:8686 NEW TRAILS DR STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1195
Practice Address - Country:US
Practice Address - Phone:713-637-1146
Practice Address - Fax:626-623-1227
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61316208M00000X
IL036133632208M00000X
WI61316-21208M00000X
TXT8324207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100032824Medicaid