Provider Demographics
NPI:1912178856
Name:PASS, AMY K (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:PASS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12200 PARK CENTRAL DR STE 189
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2116
Mailing Address - Country:US
Mailing Address - Phone:972-546-5550
Mailing Address - Fax:972-546-5551
Practice Address - Street 1:12200 PARK CENTRAL DR STE 189
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2116
Practice Address - Country:US
Practice Address - Phone:972-546-5550
Practice Address - Fax:972-546-5551
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2024-06-20
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Provider Licenses
StateLicense IDTaxonomies
TXM8907208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics