MEDICARE: AMAZON RESOURCE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1821225178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZON RESOURCE CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 710386
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77271-0386
Country	:	US
Telephone Number	:	713-777-9800
Fax Number	:	713-995-4055

Provider Business Practice Location Address
First Line	:	9900 S GESSNER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1008
Country	:	US
Telephone Number	:	713-777-9800
Fax Number	:	713-995-4055

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUNDAY NWOSUOCHA
Credential	:
Telephone Number	:	713-777-9800

Provider Enumeration Date	:	06/14/2009
Last Update Date	:	03/11/2010

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Directions to “AMAZON RESOURCE CORPORATION ” Practice Location

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