Healthcare Provider Details

I. General information

NPI: 1205858834
Provider Name (Legal Business Name): REX ALBERT FLETCHER M.D., P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 SW 34TH AVE STE 4
AMARILLO TX
79109-3900
US

IV. Provider business mailing address

7201 SW 34TH AVE STE 4
AMARILLO TX
79109-3900
US

V. Phone/Fax

Practice location:
  • Phone: 806-353-1400
  • Fax: 806-353-1404
Mailing address:
  • Phone: 806-353-1400
  • Fax: 806-353-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK3187
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: