| Amy Carrillo Np, Pllc | |
|
808 Tower Dr Ste 10 Odessa TX 79761-4270 | |
| (432) 770-2107 | |
| Not Available |
| Full Name | Amy Carrillo Np, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 808 Tower Dr Ste 10, Odessa, Texas |
| Authorized Official Name and Position | Amy Diane Carrillo (FNP/OWNER) |
| Authorized Official Contact | 4327702107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Carrillo Np, Pllc 10555 W Hacienda Dr Odessa TX 79763-7208 Ph: (432) 770-2107 | Amy Carrillo Np, Pllc 808 Tower Dr Ste 10 Odessa TX 79761-4270 Ph: (432) 770-2107 |
| NPI Number | 1750062980 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750062980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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