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NPI Code Detail

MEDICARE: PABLO E AMADOR MD

MEDICARE: PABLO E AMADOR MD
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
1207P00000XEmergency Medicine PhysicianQ2096TX
2207Q00000XFamily Medicine PhysicianQ2096TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20076NPOTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962427849
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO E AMADOR MD
Provider Business Mailing Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-820-8955
Fax Number : 281-820-5541
Provider Business Practice Location Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-820-8955
Fax Number : 281-820-5541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 11/13/2024

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Directions to “ PABLO E AMADOR MD” Practice Location

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