Provider Demographics
NPI:1689622557
Name:CRIPPS, AMY P (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:P
Last Name:CRIPPS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7777 FOREST LN STE B242
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2525
Mailing Address - Country:US
Mailing Address - Phone:147-391-7062
Mailing Address - Fax:214-368-1611
Practice Address - Street 1:7777 FOREST LN STE B242
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2525
Practice Address - Country:US
Practice Address - Phone:147-391-7062
Practice Address - Fax:214-368-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP4681207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI51251Medicare UPIN