Ivrs Healthcare | |
4515 Cornell St Unit B Amarillo TX 79109-5810 | |
(806) 282-1437 | |
(866) 618-2624 |
Full Name | Ivrs Healthcare |
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Speciality | Internal Medicine |
Location | 4515 Cornell St Unit B, Amarillo, Texas |
Authorized Official Name and Position | James Henry Marlin (CEO) |
Authorized Official Contact | 8063674830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ivrs Healthcare 4515 Cornell St Unit B Amarillo TX 79109-5810 Ph: (806) 282-1437 | Ivrs Healthcare 4515 Cornell St Unit B Amarillo TX 79109-5810 Ph: (806) 282-1437 |
NPI Number | 1134994098 |
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Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 8628510872 |
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Medicare Enrollment ID | O20240604001459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134994098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffery T Whelchel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528005592 PECOS PAC ID: 1850487083 Enrollment ID: I20100628000137 |
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