| Lee J Friend Md Pa | |
|
1200 Wallace Blvd Suite C Amarillo TX 79106-1741 | |
| (806) 359-9000 | |
| Not Available |
| Full Name | Lee J Friend Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Wallace Blvd, Amarillo, Texas |
| Authorized Official Name and Position | Tameisha Buchanan (CREDENTIALING ASSOCIATE) |
| Authorized Official Contact | 7135545302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee J Friend Md Pa Po Box 1759 Dept. 952 Houston TX 77251-1759 Ph: (713) 554-5302 | Lee J Friend Md Pa 1200 Wallace Blvd Suite C Amarillo TX 79106-1741 Ph: (806) 359-9000 |
| NPI Number | 1407039738 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039738 | NPI | - | NPPES |
| 0018NG | Other | TX | BCBS |
| D48564 | Other | TX | AETNA |
| 177651001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4790 (Texas) | Primary |
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