| Descend Hbo2, P.a. | |
|
3611 Soncy Suite 5-b Amarillo TX 79159-1673 | |
| (806) 467-9400 | |
| (806) 467-1933 |
| Full Name | Descend Hbo2, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3611 Soncy, Amarillo, Texas |
| Authorized Official Name and Position | Robert Casanova (PHYSICIAN) |
| Authorized Official Contact | 8064679400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Descend Hbo2, P.a. 3611 Soncy Suite 5-b Amarillo TX 79119 Ph: (806) 467-9400 | Descend Hbo2, P.a. 3611 Soncy Suite 5-b Amarillo TX 79159-1673 Ph: (806) 467-9400 |
| NPI Number | 1144311358 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144311358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G4900 (Texas) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | G4900 (Texas) | Secondary |
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