Provider Demographics
NPI:1295093060
Name:AMH PODIATRY PLLC
Entity type:Organization
Organization Name:AMH PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:361-574-1857
Mailing Address - Street 1:2705 HOSPITAL DR
Mailing Address - Street 2:STE. 212
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:361-574-1857
Mailing Address - Fax:361-574-1891
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:STE. 212
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:361-574-1857
Practice Address - Fax:361-574-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1786213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183842701Medicaid
TXV09856Medicare UPIN