Provider Demographics
NPI:1255337200
Name:MARTIN, AMY GREEN (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:GREEN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8201 PRESTON RD STE 520
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6210
Mailing Address - Country:US
Mailing Address - Phone:214-764-5585
Mailing Address - Fax:214-824-3353
Practice Address - Street 1:8201 PRESTON RD STE 520
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6210
Practice Address - Country:US
Practice Address - Phone:214-764-5585
Practice Address - Fax:214-308-2022
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-06-07
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Provider Licenses
StateLicense IDTaxonomies
TXK9345207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH59438Medicare UPIN