Provider Demographics
NPI:1285948547
Name:AMBER SHAMBURGER, MD, PA
Entity type:Organization
Organization Name:AMBER SHAMBURGER, MD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-992-5914
Mailing Address - Street 1:225 E EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3820
Mailing Address - Country:US
Mailing Address - Phone:281-992-5914
Mailing Address - Fax:
Practice Address - Street 1:225 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3820
Practice Address - Country:US
Practice Address - Phone:281-992-5914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8997207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty