| Genesis Clinic | |
|
107 W 30th Ave Pampa TX 79065-2809 | |
| (806) 688-4205 | |
| (806) 688-4211 |
| Full Name | Genesis Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 W 30th Ave, Pampa, Texas |
| Authorized Official Name and Position | Erica Nichole Garcia (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 8066884205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Clinic 107 W 30th Ave Pampa TX 79065-2809 Ph: (806) 688-4205 | Genesis Clinic 107 W 30th Ave Pampa TX 79065-2809 Ph: (806) 688-4205 |
| NPI Number | 1073817755 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073817755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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