Northwest Texas Wyatt Clinic Pllc | |
1411 E Amarillo Blvd Amarillo TX 79107-5555 | |
(806) 354-1015 | |
Not Available |
Full Name | Northwest Texas Wyatt Clinic Pllc |
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Speciality | Internal Medicine |
Location | 1411 E Amarillo Blvd, Amarillo, Texas |
Authorized Official Name and Position | Todd Evans (VP) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Texas Wyatt Clinic Pllc 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: () - | Northwest Texas Wyatt Clinic Pllc 1411 E Amarillo Blvd Amarillo TX 79107-5555 Ph: (806) 354-1015 |
NPI Number | 1780008904 |
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Provider Enumeration Date | 02/07/2014 |
Last Update Date | 06/27/2019 |
Medicare PECOS PAC ID | 8224255997 |
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Medicare Enrollment ID | O20140805000346 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780008904 | NPI | - | NPPES |
DV2201 | Other | TX | RR MEDICARE |
3393704 01 | Medicaid | TX |
Provider Name | Ricardo J Carrizo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356453013 PECOS PAC ID: 4082684766 Enrollment ID: I20040729000747 |
Provider Name | Janetta A Bitting |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083751762 PECOS PAC ID: 8527025428 Enrollment ID: I20041213000462 |
Provider Name | Stephen John Griffin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508028283 PECOS PAC ID: 9032366976 Enrollment ID: I20120828000267 |
Provider Name | Jennifer N Milner |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457514135 PECOS PAC ID: 6204087943 Enrollment ID: I20121106000545 |
Provider Name | Melissa A Trimmier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841689320 PECOS PAC ID: 9032435813 Enrollment ID: I20150313002071 |
Provider Name | Adam Graves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154787398 PECOS PAC ID: 9537465190 Enrollment ID: I20160308000216 |
Provider Name | Teresa Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326411679 PECOS PAC ID: 8426345703 Enrollment ID: I20160930000402 |
Provider Name | Brandi D Lehning |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1063863314 PECOS PAC ID: 3678860962 Enrollment ID: I20160930000545 |
Provider Name | Brandi D Lehning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063863314 PECOS PAC ID: 3678860962 Enrollment ID: I20170112000309 |
Provider Name | Jennifer Kathryn Carreon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760030100 PECOS PAC ID: 6103255310 Enrollment ID: I20200408003620 |
Provider Name | Diane Gail Srader |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841881596 PECOS PAC ID: 0749698744 Enrollment ID: I20210412001759 |
Provider Name | Kendall N Travis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275269508 PECOS PAC ID: 8628444502 Enrollment ID: I20221018000898 |
Provider Name | Marlena K Austin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770252561 PECOS PAC ID: 7315321031 Enrollment ID: I20230201001948 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |