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7629 Hillside Rd Ste 200 Amarillo TX 79119-8385 | |
(806) 641-8400 | |
(806) 803-9429 |
Full Name | |
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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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7629 Hillside Rd Ste 200 Amarillo TX 79119-8385 Ph: (806) 641-8400 | 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 |
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1215303730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 |
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 | |