Basic Information
Provider Information
NPI: 1477717411
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMOR
FirstName: COURTNEY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6400 FANNIN ST STE 1700
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301526
CountryCode: US
TelephoneNumber: 7134861700
FaxNumber: 7134676775
Practice Location
Address1: 10125 KATY FWY STE 100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770241287
CountryCode: US
TelephoneNumber: 7134861700
FaxNumber: 7134676775
Other Information
ProviderEnumerationDate: 07/17/2008
LastUpdateDate: 07/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XP2574TXN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0106XP2574TXN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
207X00000X1TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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