Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | L3227 | TX |
NPI | 1134125370 |
---|---|
Provider Name | Dr. Rene Anthony Amaya |
First Address | Pearland, TX 77588-3278 |
Second Address | Houston, TX 77043-2737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 17/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
151854002 | (05) | TX |
G70791 | (02) | TX |