| Ivr Rejuvenation Station, Llc | |
|
4515 Cornell St Ste B Amarillo TX 79109-5810 | |
| (806) 322-0747 | |
| (855) 618-2426 |
| Full Name | Ivr Rejuvenation Station, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4515 Cornell St Ste B, Amarillo, Texas |
| Authorized Official Name and Position | Erin Elizabeth Montgomery (OWNER, CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8062821437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivr Rejuvenation Station, Llc 500 S Taylor St Ste 1045 Amarillo TX 79101-2401 Ph: (806) 367-4830 | Ivr Rejuvenation Station, Llc 4515 Cornell St Ste B Amarillo TX 79109-5810 Ph: (806) 322-0747 |
| NPI Number | 1619757671 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619757671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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