Healthcare Provider Details

I. General information

NPI: 1689062275
Provider Name (Legal Business Name): AMP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W CAMPBELL RD STE 255
RICHARDSON TX
75080-3784
US

IV. Provider business mailing address

111 W ANDERSON LN STE E322
AUSTIN TX
78752-1146
US

V. Phone/Fax

Practice location:
  • Phone: 469-827-7500
  • Fax: 512-793-9846
Mailing address:
  • Phone: 512-532-4800
  • Fax: 512-735-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS NORWOOD
Title or Position: PRESIDENT
Credential:
Phone: 817-455-7476