Healthcare Provider Details

I. General information

NPI: 1114952710
Provider Name (Legal Business Name): PLAINS EMERGENCY PHYSICIANS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 WALLACE BLVD
AMARILLO TX
79106-1799
US

IV. Provider business mailing address

PO BOX 840186
DALLAS TX
75284-0186
US

V. Phone/Fax

Practice location:
  • Phone: 806-212-2000
  • Fax: 806-212-2919
Mailing address:
  • Phone: 800-701-3381
  • Fax: 239-939-1682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES M JOHNSON
Title or Position: LLP MANAGING PARTNER
Credential: M.D.
Phone: 800-253-5358