Provider Demographics
NPI:1245272475
Name:ADAMS, AMY JO (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-6163
Mailing Address - Fax:682-885-3113
Practice Address - Street 1:2540 JUSTIN RD STE 187
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3175
Practice Address - Country:US
Practice Address - Phone:945-204-8000
Practice Address - Fax:945-204-7999
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-08-26
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Provider Licenses
StateLicense IDTaxonomies
TXL9985208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI124738Medicare UPIN