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 |
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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 |
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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 |
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Provider Enumeration Date | 03/18/2024 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 6800338161 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437148624 PECOS PAC ID: 3476739731 Enrollment ID: I20240603002008 |
Provider Name | Arvind Chandilya Chakravarthy |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578883294 PECOS PAC ID: 6507004496 Enrollment ID: I20240918001444 |
Provider Name | Jacqueline Malloy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861445447 PECOS PAC ID: 7911925185 Enrollment ID: I20241119002749 |
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 | |