Provider Demographics
NPI:1124001581
Name:AMOAH-HONNY, YAA OWUSUAH (MD)
Entity Type:Individual
Prefix:MRS
First Name:YAA
Middle Name:OWUSUAH
Last Name:AMOAH-HONNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16316 FM 529 RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1464
Mailing Address - Country:US
Mailing Address - Phone:281-681-0600
Mailing Address - Fax:281-861-2792
Practice Address - Street 1:16316 FM 529 RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:281-861-0600
Practice Address - Fax:281-861-7292
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLO748207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092549701Medicaid
TX87647ZOtherBCBS HMO
TX10032115OtherAMERIGROUP
G59838Medicare UPIN
TX10032115OtherAMERIGROUP
TX00429MMedicare UPIN