Provider Demographics
NPI:1285981290
Name:MORA AMADOR, YULIET (MD)
Entity type:Individual
Prefix:
First Name:YULIET
Middle Name:
Last Name:MORA AMADOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-3735
Mailing Address - Country:US
Mailing Address - Phone:713-923-2273
Mailing Address - Fax:713-923-2276
Practice Address - Street 1:3420 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-3735
Practice Address - Country:US
Practice Address - Phone:713-923-2273
Practice Address - Fax:713-923-2276
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DZ659OtherBCBS
TX326253701Medicaid
TX326253701Medicaid