NPI 1053679050

Michael Amos, LCPO

Practitioner Prosthetist Beaumont, TX

Practice location

Address: 3395 Plaza 10 Dr STE D, Beaumont, TX 77707-2555
Phone: (409) 838-5473
Fax: (409) 838-5523

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 403 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 403 (TX)

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Registry record

NPI: 1053679050
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.