| Texas Psychiatric Medicine Pllc | |
|
2201 Civic Cir Ste 919 Amarillo TX 79109-1817 | |
| (806) 584-5180 | |
| Not Available |
| Full Name | Texas Psychiatric Medicine Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 Civic Cir Ste 919, Amarillo, Texas |
| Authorized Official Name and Position | Blake Henchcliffe (PRESIDENT) |
| Authorized Official Contact | 8065845180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Psychiatric Medicine Pllc 2201 Civic Cir Ste 919 Amarillo TX 79109-1817 Ph: (806) 584-5180 | Texas Psychiatric Medicine Pllc 2201 Civic Cir Ste 919 Amarillo TX 79109-1817 Ph: (806) 584-5180 |
| NPI Number | 1497461578 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 8628441961 |
|---|---|
| Medicare Enrollment ID | O20230307001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497461578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James Avery Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
| Provider Name | Katrisa Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639727381 PECOS PAC ID: 7012247372 Enrollment ID: I20190930001144 |
| Provider Name | Blake Henchcliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982191409 PECOS PAC ID: 2062848617 Enrollment ID: I20200130002011 |
| Provider Name | Rene Rueben Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487493185 PECOS PAC ID: 9739621756 Enrollment ID: I20240605004089 |
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