MEDICARE: AMANDA ANN SANGER

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	AP142032	TX
2	363L00000X	Nurse Practitioner	AP142032	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	:	1679135792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ANN SANGER

Provider Business Mailing Address
First Line	:	17927 PECAN BAYOU LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-4479
Country	:	US
Telephone Number	:	281-380-7768
Fax Number	:

Provider Business Practice Location Address
First Line	:	6306 FAIRBANKS N HOUSTON RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040
Country	:	US
Telephone Number	:	832-831-9094
Fax Number	:

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

Provider Enumeration Date	:	06/29/2019
Last Update Date	:	04/16/2020

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Directions to “ AMANDA ANN SANGER ” Practice Location

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