Provider Demographics
NPI:1952533325
Name:AMAR, ASHLEY (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:AMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:GILCHRIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:333 LONDONDERRY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7900
Mailing Address - Country:US
Mailing Address - Phone:254-300-8139
Mailing Address - Fax:
Practice Address - Street 1:333 LONDONDERRY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7900
Practice Address - Country:US
Practice Address - Phone:254-300-8139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP48692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program