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NPI Code Detail

MEDICARE: MRS. AMBER NICOLE HUMPHREY

MEDICARE: MRS. AMBER NICOLE HUMPHREY
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
1225XF0002XFeeding, Eating & Swallowing Occupational Therapist114232TX
2225X00000XOccupational Therapist114232TX
3174400000XSpecialist114232TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043584246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER NICOLE HUMPHREY
Provider Business Mailing Address
First Line : 340 N SAM HOUSTON PKWY E
Second Line : SUITE 199
City : HOUSTON
State : TX
Zip : 77060-3305
Country : US
Telephone Number : 281-822-0808
Fax Number :
Provider Business Practice Location Address
First Line : 7915 FM 1960 RD W STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2285
Country : US
Telephone Number : 713-352-8090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2012
Last Update Date : 05/29/2025

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Directions to “ MRS. AMBER NICOLE HUMPHREY ” Practice Location

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