Provider Demographics
NPI:1851627764
Name:HECTOR G AMAYA, M.D., P.A.
Entity Type:Organization
Organization Name:HECTOR G AMAYA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:G
Authorized Official - Last Name:AMAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-314-0842
Mailing Address - Street 1:3519 OAK PRESERVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-1301
Mailing Address - Country:US
Mailing Address - Phone:956-314-0842
Mailing Address - Fax:956-821-5829
Practice Address - Street 1:1315 E 6TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4200
Practice Address - Country:US
Practice Address - Phone:956-314-0842
Practice Address - Fax:956-821-5829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L6237Medicare PIN