Provider Demographics
NPI:1619979903
Name:MORALES-AMAYA, ANA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:MORALES-AMAYA
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:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77549-1261
Mailing Address - Country:US
Mailing Address - Phone:832-619-1373
Mailing Address - Fax:832-619-1378
Practice Address - Street 1:359 E PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5147
Practice Address - Country:US
Practice Address - Phone:832-619-1373
Practice Address - Fax:832-619-1378
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8356207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0019ZDOtherBLUECROSS & BLUESHIELD PIN
TX334188YX4SMedicare PIN
TXH05146Medicare UPIN
TX1045189-04Medicaid
TX8003N0Medicare ID - Type UnspecifiedHARRIS COUNTY
TX8962N4Medicare ID - Type UnspecifiedBRAZORIA COUNTY
TX8962N4Medicare PIN
TX8A6809OtherBLUE CROSS & BLUE SHIELD