Healthcare Provider Details

I. General information

NPI: 1215853270
Provider Name (Legal Business Name): AMY KABORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3647 GABLE LANDING LN
SPRING TX
77386-4338
US

IV. Provider business mailing address

3647 GABLE LANDING LN
SPRING TX
77386-4338
US

V. Phone/Fax

Practice location:
  • Phone: 832-774-2763
  • Fax:
Mailing address:
  • Phone: 832-774-2763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1234522
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: