Provider Demographics
NPI:1538432505
Name:LITTLER, AMBER LEE (PA-C)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:LITTLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LEE
Other - Last Name:REECE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:20214 BRAIDWOOD DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2138
Mailing Address - Country:US
Mailing Address - Phone:281-579-3600
Mailing Address - Fax:
Practice Address - Street 1:20214 BRAIDWOOD DR
Practice Address - Street 2:SUITE 215
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2138
Practice Address - Country:US
Practice Address - Phone:281-579-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02049363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical