MEDICARE: DR. MICHAEL ANTHONY AMARO M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	G6431	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1184658791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANTHONY AMARO M.D.

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE STE 203
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2454
Country	:	US
Telephone Number	:	281-558-5855
Fax Number	:	281-558-5828

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE STE 203
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2454
Country	:	US
Telephone Number	:	281-558-5855
Fax Number	:	281-558-5828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	09/11/2019

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