Individual
ANA AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
21362 RUSSELL CHASE DR, PORTER, TX 77365-7114
(281) 541-4266
Mailing address
PO BOX 108, PORTER, TX 77365-0108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
246ZC0007X
Surgical Assistant
Primary
SA00631
—
Other
Enumeration date
08/01/2013
Last updated
06/25/2024
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