Provider Demographics
NPI:1811262421
Name:RIEDEL, AMY ELIZABETH (DPM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:RIEDEL
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77001-0207
Mailing Address - Country:US
Mailing Address - Phone:281-829-2000
Mailing Address - Fax:
Practice Address - Street 1:18885 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1103
Practice Address - Country:US
Practice Address - Phone:713-650-6900
Practice Address - Fax:713-650-4900
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2014213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159750Medicare PIN