Healthcare Provider Details

I. General information

NPI: 1215095062
Provider Name (Legal Business Name): AMOR & FELIZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5839 EFFINGHAM DR
HOUSTON TX
77035-4212
US

IV. Provider business mailing address

5839 EFFINGHAM DR
HOUSTON TX
77035-4212
US

V. Phone/Fax

Practice location:
  • Phone: 832-647-8644
  • Fax:
Mailing address:
  • Phone: 832-647-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LORETTA TRYON
Title or Position: ADMI.
Credential: NURSE
Phone: 832-647-8644