Amy J .Jatzlau, M.D., P.A.

LBN: Amy J .Jatzlau, M.D., P.A.
Amy J .Jatzlau, M.D., P.A. is an health care organization with primary practice located at 189 S Manse Ave , Giddings TX 78942-3433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Amy J .Jatzlau, M.D., P.A. can be contacted via phone (979) 542-0710, or through Jatzlau, Amy Joanne via phone (979) 542-0710.

Contact Information

Primary practice address
189 S Manse Ave Giddings TX 78942-3433
Phone: (979) 542-0710
Fax: (979) 542-0748
Website:
Map and Directions
Authorized official contact:
Name: Jatzlau, Amy Joanne Doctor of Medicine (MD)
Phone: (979) 542-0710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L8576 Texas

Profile Details

NPI number 1164688081
LBN Legal business name Amy J .Jatzlau, M.D., P.A.
DBA Doing business as
Authorized official Jatzlau, Amy Joanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2008
Last updated Jul 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164688081 NPPES
Texas MEDICAID 168179301

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