Provider Demographics
NPI:1134125370
Name:AMAYA, RENE ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:ANTHONY
Last Name:AMAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3278
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588-3278
Mailing Address - Country:US
Mailing Address - Phone:713-464-9776
Mailing Address - Fax:713-464-9771
Practice Address - Street 1:1140 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2737
Practice Address - Country:US
Practice Address - Phone:713-464-9776
Practice Address - Fax:713-464-9771
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2016-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL32272080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151854002Medicaid
TXG70791Medicare UPIN
TX8450B9Medicare PIN