AMELIA BROOKE TOWER (NPI# 1003257957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003257957 |
| Entity Type | Individual |
| Full Name | AMELIA BROOKE TOWER |
| Credential | DO |
| Practice Address |
431 E State Highway 114 Ste 470 Southlake TX 76092 |
| Mailing Address |
7415 Las Colinas Blvd Ste 100 Irving TX 75063-7569 |
| Practice Telephone | 2143792700 |
| Practice Fax Number | 9728693875 |
| Mailing Telephone | 2143792722 |
| Mailing Fax Number | 9728693875 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Q0374 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | OS016537 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Q0374 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 335786503 | 05 | |
| TX | BCBS | 8EJ304 | 01 |
| TX | 335786501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16605 Southwest Fwy Ste 220, Sugar Land, TX 774793471 | (281) 494-3000 | |
| 2010 Ben Merritt Dr Unit A, Decatur, TX 762343853 | 2143792700 | 9728693875 |
| 7415 Las Colinas Blvd Ste 100, Irving, TX 750637569 | 2143792700 | 9728693875 |
| 855 Montgomery St, Fort Worth, TX 761072553 | 8177355450 |
| Street Address |
431 E STATE HIGHWAY 114 STE 470 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356388870 | James David Mackey | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2006-06-01 |
| 1609209949 | Deepti Kallam | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2013-08-09 |
| 1225396039 | Swapna Goday | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2012-04-30 |
| 1124219449 | Raetasha Sheavette Dabney | Internal Medicine | 431 E State Highway 114 Ste 470, Southlake, TX 76092-4415 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134662125 | Lakhbir Sandhu | Surgery | 1400 Pressler Suite, Unit 1484, Houston, TX 77030 | 2016-11-23 |
| 1104191667 | John C. O'brien, Jr., Md, Pa | Surgery | 8223 Forest Hills Blvd, Dallas, TX 75218-4410 | 2012-03-16 |
| 1245462852 | Ali Abdalla Maawy | Surgery | 6133 Parkway Dr, Corpus Christi, TX 78414 | 2009-08-14 |
| 1720235427 | William Francis Mcnamara | Surgery | 7777 Forest Ln Ste C585, Dallas, TX 75230-6871 | 2008-08-25 |
| 1336343235 | Loren L Rourke | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2007-06-13 |
| 1942309075 | Steven A. Curley | Surgery | 910 E Houston St Ste 270, Tyler, TX 75702-8367 | 2006-09-22 |
| 1649387713 | Morton S Kahlenberg | Surgery | 8711 Village Dr Ste 325, San Antonio, TX 78217-5403 | 2006-08-24 |
| 1124131628 | East Houston Surgical Associates | Surgery | 4140 Southwest Freeway #425, Houston, TX 77027 | 2006-08-17 |
| 1457392839 | Bay Area Cancer Surgery, P.a. | Surgery | 4021 Garth Rd, #105, Baytown, TX 77521-3160 | 2006-06-09 |
| 1326019571 | Kimberly M Brown | Surgery | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.