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Individual

AMEE REVANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6621 FANNIN ST STE 1040, HOUSTON, TX 77030-2358
(832) 822-3300
Mailing address
6621 FANNIN ST STE 1040, HOUSTON, TX 77030-2358
(832) 822-3300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
048947
CT
208000000X
Pediatrics Physician
OS015180
PA
208000000X
Pediatrics Physician
Q0807
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
Q0807
TX

Other

Enumeration date
06/18/2007
Last updated
12/08/2022
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