Healthcare Provider Details

I. General information

NPI: 1053576231
Provider Name (Legal Business Name): KARRIE TOMISKA AMOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2008
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 GESSNER RD STE 950
HOUSTON TX
77024
US

IV. Provider business mailing address

915 GESSNER RD STE 950
HOUSTON TX
77024-2578
US

V. Phone/Fax

Practice location:
  • Phone: 713-468-2200
  • Fax: 713-468-2213
Mailing address:
  • Phone: 713-468-2200
  • Fax: 713-468-2213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number1
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: