MEDICARE: AMBER IRABOR FNP-C

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	363LF0000X	Family Nurse Practitioner	745974	TX
2	363LF0000X	Family Nurse Practitioner	RN225977	GA
3	363LF0000X	Family Nurse Practitioner	AP122585	TX

General Provider Information

NPI Number	:	1528310794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER IRABOR FNP-C

Provider Business Mailing Address
First Line	:	5402 WESTHEIMER RD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5402 WESTHEIMER RD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5302
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

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

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	07/30/2025

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