Provider Demographics
NPI:1619001534
Name:AMY S LUNGREN MD PA
Entity Type:Organization
Organization Name:AMY S LUNGREN MD PA
Other - Org Name:FLOWER MOUND WOMEN'S HEALTH, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:STOVER
Authorized Official - Last Name:LUNGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-874-5588
Mailing Address - Street 1:4370 MEDICAL ARTS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1712
Mailing Address - Country:US
Mailing Address - Phone:972-874-5588
Mailing Address - Fax:972-874-3638
Practice Address - Street 1:4370 MEDICAL ARTS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1712
Practice Address - Country:US
Practice Address - Phone:972-874-5588
Practice Address - Fax:972-874-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7022207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty