Basic Information
| Provider Information | |||||||||
| NPI: | 1124001581 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AMOAH-HONNY | ||||||||
| FirstName: | YAA | ||||||||
| MiddleName: | OWUSUAH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16316 FM 529 RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770951464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816810600 | ||||||||
| FaxNumber: | 2818612792 | ||||||||
| Practice Location | |||||||||
| Address1: | 16316 FM 529 RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2818610600 | ||||||||
| FaxNumber: | 2818617292 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2005 | ||||||||
| LastUpdateDate: | 06/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | LO748 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208D00000X | LO748 | TX | Y | Allopathic & Osteopathic Physicians | General Practice |
ID Information
| ID | Type | State | Issuer | Description | 092549701 | 05 | TX | MEDICAID | 87647Z | 01 | TX | BCBS HMO | OTHER | 10032115 | 01 | TX | AMERIGROUP | OTHER |