Provider Demographics
NPI:1508265901
Name:CLAUDIA AMADOR, PLLC
Entity Type:Organization
Organization Name:CLAUDIA AMADOR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:361-576-9700
Mailing Address - Street 1:101 W GOODWIN AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6502
Mailing Address - Country:US
Mailing Address - Phone:361-576-9700
Mailing Address - Fax:
Practice Address - Street 1:101 W GOODWIN AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6502
Practice Address - Country:US
Practice Address - Phone:361-576-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX730502363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty