| Dba Living Well Express Care | |
|
5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 | |
| (806) 355-2900 | |
| (806) 355-2929 |
| Full Name | Dba Living Well Express Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5807 Sw 45th Avenue, Amarillo, Texas |
| Authorized Official Name and Position | Carolyn Sue Hurt (DIRECTOR, CORPORATE CREDENTIALING) |
| Authorized Official Contact | 8063558900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Living Well Express Care 5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 Ph: (806) 355-2900 | Dba Living Well Express Care 5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 Ph: (806) 355-2900 |
| NPI Number | 1578756771 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578756771 | NPI | - | NPPES |
| 213058501 | Medicaid | TX |
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