Individual
AMANDA LEE GORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 394-6450
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 394-6450
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10032057
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.207466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2380036
—
LA
Enumeration date
06/13/2008
Last updated
03/01/2025
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