| Spirit Care Of Texas Pc | |
|
6504 Nancy Ellen St Amarillo TX 79119-6327 | |
| (877) 418-2466 | |
| (877) 460-4201 |
| Full Name | Spirit Care Of Texas Pc |
|---|---|
| Speciality | General Practice |
| Location | 6504 Nancy Ellen St, Amarillo, Texas |
| Authorized Official Name and Position | Arvind Chakravarthy (OWNER) |
| Authorized Official Contact | 8108140963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Care Of Texas Pc 3725 Hamilton Mill Rd Buford GA 30519-3909 Ph: (877) 418-2466 | Spirit Care Of Texas Pc 6504 Nancy Ellen St Amarillo TX 79119-6327 Ph: (877) 418-2466 |
| NPI Number | 1538928726 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6800338161 |
|---|---|
| Medicare Enrollment ID | O20240603001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538928726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Laura Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437148624 PECOS PAC ID: 3476739731 Enrollment ID: I20240603002008 |
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