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NPI Code Detail

MEDICARE: AMY D. CIBOROWSKI M.D.

MEDICARE: AMY D. CIBOROWSKI 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
1208M00000XHospitalist PhysicianG4983TX
2207R00000XInternal Medicine PhysicianG4983TX

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 : 1669489704
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY D. CIBOROWSKI M.D.
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ STE N
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-3111
Fax Number : 713-798-7999
Provider Business Practice Location Address
First Line : 20171 CHASEWOOD PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-1437
Country : US
Telephone Number : 713-798-3111
Fax Number : 713-798-7999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 10/11/2021

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