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5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 | |
(806) 355-2900 | |
(806) 355-2929 |
Full Name | |
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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 |
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5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 Ph: (806) 355-2900 | 5807 Sw 45th Avenue Suite 100 Amarillo TX 79109-5205 Ph: (806) 355-2900 |
NPI Number | 1578756771 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
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1578756771 | NPI | - | NPPES |
213058501 | Medicaid | TX |
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 | |