Individual
DR. CHIAZO S AMENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAANS
Contact information
Practice address
909 9TH AVE STE 201, FORT WORTH, TX 76104-3916
(817) 870-5094
Mailing address
909 9TH AVE STE 201, FORT WORTH, TX 76104-3916
(817) 870-5094
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2014010397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245435056
—
MO
Enumeration date
06/20/2007
Last updated
07/30/2023
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