Premier Women's Health Center | |
7629 Hillside Rd Ste 200 Amarillo TX 79119-8385 | |
(806) 641-8400 | |
(806) 803-9429 |
Full Name | Premier Women's Health Center |
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Speciality | Family Medicine |
Location | 7629 Hillside Rd Ste 200, Amarillo, Texas |
Authorized Official Name and Position | Lorrie Engel (PRACTICE MANAGER) |
Authorized Official Contact | 8062829244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Women's Health Center 7629 Hillside Rd Ste 200 Amarillo TX 79119-8385 Ph: (806) 641-8400 | Premier Women's Health Center 7629 Hillside Rd Ste 200 Amarillo TX 79119-8385 Ph: (806) 641-8400 |
NPI Number | 1215303730 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 05/06/2022 |
Medicare PECOS PAC ID | 4587973854 |
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Medicare Enrollment ID | O20151028000123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215303730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N8066 (Texas) | Primary |
Provider Name | Cristiane C Ennis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861689572 PECOS PAC ID: 0840477113 Enrollment ID: I20110614000511 |
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