Provider Demographics
NPI:1992299846
Name:WOLF, AMPARO MYRELLE (MD, PHD)
Entity type:Individual
Prefix:MS
First Name:AMPARO
Middle Name:MYRELLE
Last Name:WOLF
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 0442
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-563-0758
Mailing Address - Fax:713-794-4950
Practice Address - Street 1:MD ANDERSON CANCER CENTER
Practice Address - Street 2:1400 HOLCOMBE BLVD, UNIT 0442
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-563-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program