Provider Demographics
NPI:1932220332
Name:HAUFLER, AMY GAY (NP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:GAY
Last Name:HAUFLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 PLYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4807
Mailing Address - Country:US
Mailing Address - Phone:817-795-9675
Mailing Address - Fax:817-520-5431
Practice Address - Street 1:1717 PRECINCT LINE RD STE 101
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3169
Practice Address - Country:US
Practice Address - Phone:817-520-5430
Practice Address - Fax:817-520-5431
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695825363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health