| Clinica Hispana Amarillo | |
|
818 Martin Rd Suite 3 Amarillo TX 77365 | |
| (806) 418-4366 | |
| (806) 418-4365 |
| Full Name | Clinica Hispana Amarillo |
|---|---|
| Speciality | General Practice |
| Location | 818 Martin Rd, Amarillo, Texas |
| Authorized Official Name and Position | Alieski Mastrapa Dominguez (MEMBER) |
| Authorized Official Contact | 2813816190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Hispana Amarillo Po Box 2799 Porter TX 77365-2799 Ph: (281) 381-6190 | Clinica Hispana Amarillo 818 Martin Rd Suite 3 Amarillo TX 77365 Ph: (806) 418-4366 |
| NPI Number | 1255075362 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255075362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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