Provider Demographics
NPI:1306682604
Name:ROST, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ROST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15310 PENN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-3529
Mailing Address - Country:US
Mailing Address - Phone:281-786-7932
Mailing Address - Fax:
Practice Address - Street 1:1120 NASA PKWY STE 220B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3342
Practice Address - Country:US
Practice Address - Phone:832-271-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG