Provider Demographics
NPI:1972375368
Name:AMAH, CHIKE SIMEON
Entity type:Individual
Prefix:
First Name:CHIKE
Middle Name:SIMEON
Last Name:AMAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 RAINHAM VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3536
Mailing Address - Country:US
Mailing Address - Phone:713-291-2714
Mailing Address - Fax:
Practice Address - Street 1:7407 RAINHAM VALLEY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3536
Practice Address - Country:US
Practice Address - Phone:713-291-2714
Practice Address - Fax:719-283-7966
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140416363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health