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NPI 1073481024

NPI 1073481024 : AMARILLO LUNG AND CRITICAL CARE PLLC : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1073481024
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMARILLO LUNG AND CRITICAL CARE PLLC 
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Dates
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    Enumeration Date     |    10/29/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    1540 RESEARCH ST 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-1109
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    Country              |    US
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    Telephone            |    806-639-8670
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 50104 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79159-0104
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     CRAIG  PERRIEN 
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    Credential           |    
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    Telephone            |    806-290-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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