| Northwest Texas Physician Group | |
|
1501 S Coulter St Amarillo TX 79106-1770 | |
| (610) 768-3300 | |
| Not Available |
| Full Name | Northwest Texas Physician Group |
|---|---|
| Speciality | Clinic/center |
| Location | 1501 S Coulter St, Amarillo, Texas |
| Authorized Official Name and Position | John Johannessen (VICE PRESIDENT) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Texas Physician Group 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: (610) 768-3300 | Northwest Texas Physician Group 1501 S Coulter St Amarillo TX 79106-1770 Ph: (610) 768-3300 |
| NPI Number | 1841629573 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841629573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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