Healthcare Provider Details

I. General information

NPI: 1427169747
Provider Name (Legal Business Name): AMY E. BREWER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY E TEUFEL

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 SUMMER FIELD CIR
MC GREGOR TX
76657-3458
US

IV. Provider business mailing address

1031 SUMMER FIELD CIR
MC GREGOR TX
76657-3458
US

V. Phone/Fax

Practice location:
  • Phone: 254-845-4334
  • Fax: 888-807-1573
Mailing address:
  • Phone: 254-845-4334
  • Fax: 888-807-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19302
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: