Healthcare Provider Details

I. General information

NPI: 1477724565
Provider Name (Legal Business Name): KLASH MEDICAL BILLING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6214 ESTACADO LN
AMARILLO TX
79109-6923
US

IV. Provider business mailing address

PO BOX 7710
AMARILLO TX
79114-7710
US

V. Phone/Fax

Practice location:
  • Phone: 806-467-9166
  • Fax: 806-467-9254
Mailing address:
  • Phone: 806-467-9166
  • Fax: 806-467-9254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA00076
License Number StateTX

VIII. Authorized Official

Name: LISA L IRONS
Title or Position: OFFICE MANAGER
Credential:
Phone: 806-467-9166