Healthcare Provider Details

I. General information

NPI: 1720354590
Provider Name (Legal Business Name): NORTHWEST TEXAS HEALTHCARE SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 11/27/2023
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S COULTER ST
AMARILLO TX
79106-1770
US

IV. Provider business mailing address

4100 INTERNATIONAL PLZ STE 600
FORT WORTH TX
76109-4823
US

V. Phone/Fax

Practice location:
  • Phone: 806-354-1000
  • Fax: 806-354-1122
Mailing address:
  • Phone: 817-529-2650
  • Fax: 817-529-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE STRAIT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-204-6747