Provider Demographics
NPI:1154785756
Name:HOELSCHER, AMELIA EILEEN BUSH (MD)
Entity type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:EILEEN BUSH
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5751 EDWARDS RANCH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4131
Mailing Address - Country:US
Mailing Address - Phone:817-923-9004
Mailing Address - Fax:817-923-9004
Practice Address - Street 1:5751 EDWARDS RANCH RD STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4131
Practice Address - Country:US
Practice Address - Phone:817-923-9004
Practice Address - Fax:817-923-9004
Is Sole Proprietor?:No
Enumeration Date:2016-04-09
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3894207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology