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General NPI Number Information
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NPI Number | 1649247396
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Entity Type | Organization
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Legal Business Name | AMARILLO HEART GROUP, LLP
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 1901 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2430
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Country | US
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Telephone | 806-358-4714
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Fax | 806-468-0283
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Provider Business Mailing Address
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Address Line | 1901 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2430
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Country | US
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Telephone | 806-358-4596
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Fax | 806-358-6726
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TERRI MARTINEZ
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Credential | CEO
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Telephone | 806-358-4596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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Taxonomy #8
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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