Provider Demographics
NPI:1427169747
Name:BREWER, AMY E (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:BREWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:TEUFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1031 SUMMER FIELD CIR
Mailing Address - Street 2:
Mailing Address - City:MC GREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-3458
Mailing Address - Country:US
Mailing Address - Phone:254-845-4334
Mailing Address - Fax:888-807-1573
Practice Address - Street 1:1031 SUMMER FIELD CIR
Practice Address - Street 2:
Practice Address - City:MC GREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-3458
Practice Address - Country:US
Practice Address - Phone:254-845-4334
Practice Address - Fax:888-807-1573
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19302208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK8028OtherTSBME