person
Dr. Greg Jack Amelung, DPM
Foot & Ankle Surgery Podiatrist in Southlake, Texas
NPI 1427057348

Greg Jack Amelung is a Foot & Ankle Surgery Podiatrist based in Hurst, TX and is specialized in Foot & Ankle Surgery. Greg Jack Amelung practices in Southlake, TX and has the professional credentials of DPM. The NPI Number for Greg Jack Amelung is 1427057348 and holds a License No. 1859 (Texas).

The current practice location address for Greg Jack Amelung is 1940 E Highway 114 Ste 150, Southlake, TX and can be reached out via phone at 817-503-0009 and via fax at 817-503-8909.

Location: 1940 E Highway 114 Ste 150, Southlake, TX, 76054-6233
person
Provider Profile Details
NPI Number
1427057348
Provider Name
Greg Jack Amelung
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1940 E Highway 114 Ste 150, Southlake, TX, 76054-6233
Phone Number
817-503-0009
Fax Number
817-503-8909
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0013MS 01 TX BCBS GROUP
1376738971 01 TX GROUP NPI
1427057348 01 TX INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1940 E Highway 114 Ste 150
City
State
Zip
76092-6526
Phone Number
817-503-0009
Fax Number
817-503-8909
person
Provider Business Mailing Address Details
Address
1940 E Highway 114 Ste 150
City
State
Zip
76092-6526
Phone Number
817-503-0009
Fax Number
817-503-8909
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1859 (Texas)
Definition
Definition to come...
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