Healthcare Provider Details

I. General information

NPI: 1316947609
Provider Name (Legal Business Name): AMARILLO ENDOSCOPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6833 PLUM CREEK DR
AMARILLO TX
79124-1602
US

IV. Provider business mailing address

6833 PLUM CREEK DR
AMARILLO TX
79124-1602
US

V. Phone/Fax

Practice location:
  • Phone: 806-467-9820
  • Fax: 806-467-9743
Mailing address:
  • Phone: 806-467-9820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number007790
License Number StateTX

VIII. Authorized Official

Name: JILL FINKE
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 210-478-5430