Provider Demographics
NPI:1093777211
Name:GHEBRANIOUS, AMIR R (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:R
Last Name:GHEBRANIOUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10950 RESOURCE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6134
Mailing Address - Country:US
Mailing Address - Phone:281-484-5587
Mailing Address - Fax:281-506-1013
Practice Address - Street 1:10950 RESOURCE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6134
Practice Address - Country:US
Practice Address - Phone:281-481-2759
Practice Address - Fax:281-484-1785
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2018-04-10
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Provider Licenses
StateLicense IDTaxonomies
TXJ9051207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87342KMedicare ID - Type Unspecified