Provider Demographics
NPI:1164194692
Name:OLIVER, NATALIE AMANTE (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:AMANTE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:RENAE
Other - Last Name:AMANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 2050
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2783
Mailing Address - Country:US
Mailing Address - Phone:713-794-0700
Mailing Address - Fax:713-794-0610
Practice Address - Street 1:6560 FANNIN ST STE 2050
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2783
Practice Address - Country:US
Practice Address - Phone:713-794-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-03
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14970363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant