Most Relevant Information
Provider Data
| NPI Number: | 1003834904 |
| Provider Name: | AMANDA WALTON BASFORD M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RN0300X |
| Specialty: | Internal Medicine |
| License Number: | M1496 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 09/29/2011 |
Provider Practice Location
6565 FANNIN ST
FONDREN 270
HOUSTON
TX
770302703
Practice Location Phone/Fax
| Phone: | 7134410006 |
| Fax: | 7137902797 |
Provider Mailing Location
6565 FANNIN ST
FONDREN 270
HOUSTON
TX
770302703
Provider Mailing Phone/Fax
| Phone: | 7134410006 |
| Fax: | 7137902797 |
Suggested EMR
Nephrology EMR