MEDICARE: DR. AMMAR JARROUS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	L2953	TX

General Provider Information

NPI Number	:	1346267168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMMAR JARROUS M.D.

Provider Business Mailing Address
First Line	:	6810 PLUM CREEK DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79124-1601
Country	:	US
Telephone Number	:	806-355-3022
Fax Number	:	806-355-2998

Provider Business Practice Location Address
First Line	:	6810 PLUM CREEK DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79124-1601
Country	:	US
Telephone Number	:	806-355-3022
Fax Number	:	806-355-2998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	10/16/2024

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