Healthcare Provider Details

I. General information

NPI: 1053742361
Provider Name (Legal Business Name): FMC CLINICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3552 S. SONCY
AMARILLO TX
79119-1111
US

IV. Provider business mailing address

3552 S. SONCY
AMARILLO TX
79119-1111
US

V. Phone/Fax

Practice location:
  • Phone: 806-350-7722
  • Fax: 806-350-7733
Mailing address:
  • Phone: 806-350-7722
  • Fax: 806-350-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN SUE HURT
Title or Position: DIRECTOR, CORPORATE COMPLIANCE
Credential: CPMSM, CPCS
Phone: 806-355-8900