| Allegiance Care Llc | |
|
1901 Medi Park Dr Ste 6 Amarillo TX 79106-2105 | |
| (806) 576-1095 | |
| Not Available |
| Full Name | Allegiance Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Medi Park Dr Ste 6, Amarillo, Texas |
| Authorized Official Name and Position | Shelly Wray (OWNER) |
| Authorized Official Contact | 8066543421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Care Llc 1901 Medi Park Dr Ste 6 Amarillo TX 79106-2105 Ph: (806) 576-1095 | Allegiance Care Llc 1901 Medi Park Dr Ste 6 Amarillo TX 79106-2105 Ph: (806) 576-1095 |
| NPI Number | 1164154068 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 9335521640 |
|---|---|
| Medicare Enrollment ID | O20220803002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164154068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shelly L Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497273171 PECOS PAC ID: 3173867611 Enrollment ID: I20181210002834 |
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