Dr. Amanda Walton Basford
Internist Nephrologist
6565 Fannin St Fondren 270
Houston
, Texas 77030-2703
Dr. Amanda Walton Basford
Internist Nephrologist
6565 Fannin St Fondren 270
Houston
, Texas 77030-2703
(713) 790-2797
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Amanda Walton Basford
- 6565 Fannin St Fondren 270
- Houston, TX
- Zip : 77030-2703
- Fax : (713) 790-2797
- Phone : (713) 441-0006
Second Address
- Dr. Amanda Walton Basford
- 6565 Fannin St Fondren 270
- Houston, TX
- Zip : 77030-2703
- Fax : (713) 790-2797
- Phone : (713) 441-0006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | M1496 | TX |
| N | 111NI0900X | Internist | M1496 | TX |
| Y | 207RN0300X | Nephrologist | M1496 | TX |
National Provider Identifier
| NPI | 1003834904 |
|---|---|
| Provider Name | Dr. Amanda Walton Basford |
| First Address | Houston, TX 77030-2703 |
| Second Address | Houston, TX 77030-2703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 094010801 | (05) | TX |
| 1003834904 | BLUE CROSS BLUE SHIELD (01) | TX |
| 184374001 | (05) | TX |
| 184374004 | (05) | TX |
| I60170 | (02) | |
| P00947183 | MEDICARE RR (01) | TX |
| TXB110289 | MEDICARE PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.