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NPI Code Detail

MEDICARE: MRS. AMY CATHERINE SPEER PA

MEDICARE: MRS. AMY CATHERINE SPEER 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 AssistantPA02329TX

General Provider Information

NPI Number : 1871549782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY CATHERINE SPEER PA
Provider Business Mailing Address
First Line : 1717 MAIN ST
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75201-4612
Country : US
Telephone Number : 214-712-2444
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MARIE CURIE DR
Second Line :
City : GARLAND
State : TX
Zip : 75042-5706
Country : US
Telephone Number : 972-487-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. AMY CATHERINE SPEER PA” Practice Location

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