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NPI Code Detail

MEDICARE: AMY MICHELLE GOBERT-GUERRA

MEDICARE: AMY MICHELLE GOBERT-GUERRA
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP137079TX

General Provider Information

NPI Number : 1922595339
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MICHELLE GOBERT-GUERRA
Provider Business Mailing Address
First Line : 2800 S MACGREGOR WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1032
Country : US
Telephone Number : 713-741-3830
Fax Number :
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line : SMITH TOWER, SUITE 300
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 832-667-5301
Fax Number : 346-238-6626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 02/18/2026

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