Provider Demographics
NPI:1942483870
Name:GRUSZECKI, AMY CHRISTINA (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CHRISTINA
Last Name:GRUSZECKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 550846
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75355-0846
Mailing Address - Country:US
Mailing Address - Phone:214-221-2700
Mailing Address - Fax:
Practice Address - Street 1:2452 US HIGHWAY 80 E
Practice Address - Street 2:STE 100
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1204
Practice Address - Country:US
Practice Address - Phone:214-221-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1121207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology