Provider Demographics
NPI:1447249289
Name:PEARSON, AMY K (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:K
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9235 KATY FWY STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1533
Mailing Address - Country:US
Mailing Address - Phone:346-588-7836
Mailing Address - Fax:346-588-7836
Practice Address - Street 1:9235 KATY FWY STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1533
Practice Address - Country:US
Practice Address - Phone:346-588-7836
Practice Address - Fax:346-588-7836
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047638207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000831971BMedicaid
GAF92187Medicare UPIN
GA000831971BMedicaid