Healthcare Provider Details

I. General information

NPI: 1710810189
Provider Name (Legal Business Name): GAYATRI ELUMALAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S. COULTER STREET SUITE 1500
AMARILLO TX
79106
US

IV. Provider business mailing address

1400 S. COULTER STREET SUITE 1500
AMARILLO TX
79106
US

V. Phone/Fax

Practice location:
  • Phone: 806-414-9800
  • Fax: 806-354-5689
Mailing address:
  • Phone: 806-414-9800
  • Fax: 806-354-5689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: