Healthcare Provider Details

I. General information

NPI: 1659245272
Provider Name (Legal Business Name): TLC PEDIATRICS OF AMARILLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 S SONCY RD STE #102
AMARILLO TX
79119
US

IV. Provider business mailing address

3501 S SONCY RD STE #102
AMARILLO TX
79119
US

V. Phone/Fax

Practice location:
  • Phone: 806-353-7900
  • Fax: 806-353-8321
Mailing address:
  • Phone: 806-353-7900
  • Fax: 806-353-8321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TAGHREED MAAYTAH
Title or Position: OWNER
Credential: MD
Phone: 806-353-7900