Provider Demographics
NPI:1871595140
Name:PLUMMER, AMY C (MD)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:23802 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1510
Mailing Address - Country:US
Mailing Address - Phone:281-312-5400
Mailing Address - Fax:281-312-5440
Practice Address - Street 1:23802 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1510
Practice Address - Country:US
Practice Address - Phone:281-312-5400
Practice Address - Fax:281-312-5440
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4443207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044557905OtherMEDICAID KINGWOOD
TX044557904OtherMEDICAID HUMBLE
TX8V6060OtherBLUE CROSS BLUE SHIELD
TX00X051Medicare PIN
TX044557904OtherMEDICAID HUMBLE