Lamberto L Amacan

Individual provider Active NPI Driver · Houston, TX

NPI 1003448176 · NPPES record last updated Feb 6, 2020

Key facts

NPI
1003448176
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
41183722 (TX)
Practice address
9319 Comanche Peak LN
Houston, TX 77089-5855
Phone
(832) 876-4579
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
41183722TXMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 41183722 TX Yes

Addresses

Primary practice location

9319 Comanche Peak LN
Houston, TX 77089-5855

Mailing address

9319 Comanche Peak LN
Houston, TX 77089-5855
Phone (832) 876-4579

Other providers in Houston, TX

All providers in Houston, TX · Driver in Texas

Sources for this page

Verify at the official NPI Registry.