=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184416307
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST TEXAS VALOR PAIN AND SPINE WELLNESS INSTITUTE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2025
-----------------------------------------------------
Last Update Date | 05/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24 CARE CIR
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79124-2118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-353-6100
-----------------------------------------------------
Fax | 806-353-8130
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24 CARE CIR
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79124-2118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-353-6100
-----------------------------------------------------
Fax | 806-353-8130
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMIN
-----------------------------------------------------
Name | MRS. STEPHANIE SINGLETARY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-353-6100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP3300X
-----------------------------------------------------
Taxonomy Name | Pain Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------