Creek Stone Integrated Medical Pllc | |
3501 Sw 45th Ave Ste T Amarillo TX 79109-5676 | |
(806) 355-3000 | |
(806) 418-2305 |
Full Name | Creek Stone Integrated Medical Pllc |
---|---|
Speciality | General Practice |
Location | 3501 Sw 45th Ave Ste T, Amarillo, Texas |
Authorized Official Name and Position | Jeffery Williams (OWNER) |
Authorized Official Contact | 8063553000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Creek Stone Integrated Medical Pllc 3501 Sw 45th Ave Ste T Amarillo TX 79109-5676 Ph: (806) 355-3000 | Creek Stone Integrated Medical Pllc 3501 Sw 45th Ave Ste T Amarillo TX 79109-5676 Ph: (806) 355-3000 |
NPI Number | 1487222683 |
---|---|
Provider Enumeration Date | 06/14/2021 |
Last Update Date | 06/14/2021 |
Medicare PECOS PAC ID | 2264820802 |
---|---|
Medicare Enrollment ID | O20211101000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487222683 | NPI | - | NPPES |
1871591909 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jeffery S Williams |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356365258 PECOS PAC ID: 2860497419 Enrollment ID: I20061003000627 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |