Provider Demographics
NPI:1255634655
Name:MCGILL, AMBER (DPT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 LONG PRAIRIE RD STE 600
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5639
Mailing Address - Country:US
Mailing Address - Phone:972-539-5795
Mailing Address - Fax:972-539-5793
Practice Address - Street 1:6050 LONG PRAIRIE RD STE 600
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5639
Practice Address - Country:US
Practice Address - Phone:972-539-5795
Practice Address - Fax:972-539-5793
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373342251X0800X
TX1243798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist