Basford, Amanda Walton

Basford, Amanda Walton is an individual health care provider with primary practice located at 6565 Fannin St Fondren 270, Houston TX 77030-2703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Basford, Amanda Walton can be contacted via phone (713) 441-0006.

Contact Information

Primary practice address
6565 Fannin St Fondren 270 Houston TX 77030-2703
Phone: (713) 441-0006
Fax: (713) 790-2797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M1496 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M1496 Texas

Profile Details

NPI number 1003834904
LBN Legal business name Basford, Amanda Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003834904 NPPES
Texas MEDICAID 184374004
Texas Other P00947183
Texas Other TXB110289
Texas MEDICAID 094010801
Texas Other 1003834904
Texas MEDICAID 184374001

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