Healthcare Provider Details

I. General information

NPI: 1699089367
Provider Name (Legal Business Name): AMARA HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 08/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16919 CORONADO SPRINGS DR
SPRING TX
77379-1912
US

IV. Provider business mailing address

16919 CORONADO SPRINGS DR
SPRING TX
77379-1912
US

V. Phone/Fax

Practice location:
  • Phone: 713-594-5290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORIA C NWOSU-JEFFERSON
Title or Position: CLINICIAN
Credential: REGISTERED NURSE
Phone: 678-984-4107