Provider Demographics
NPI:1801425996
Name:EMBREY, AMORETTE (LM)
Entity type:Individual
Prefix:
First Name:AMORETTE
Middle Name:
Last Name:EMBREY
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10225 DOGWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-9235
Mailing Address - Country:US
Mailing Address - Phone:318-562-0199
Mailing Address - Fax:
Practice Address - Street 1:14435 CABOT LODGE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4321
Practice Address - Country:US
Practice Address - Phone:318-562-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99404176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife