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NPI Code Detail

MEDICARE: AMBER L DOWNES PA

MEDICARE: AMBER L DOWNES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA04519TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801811419
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER L DOWNES PA
Provider Business Mailing Address
First Line : 1217 OAKLAND BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-1125
Country : US
Telephone Number : 817-457-3853
Fax Number : 817-457-2794
Provider Business Practice Location Address
First Line : 1217 OAKLAND BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-1125
Country : US
Telephone Number : 817-457-3853
Fax Number : 817-457-2794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 06/04/2014

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Directions to “ AMBER L DOWNES PA” Practice Location

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