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NPI Code Detail

MEDICARE: AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC

MEDICARE: AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0002XEmergency Care Clinic/Center
2207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1386325801
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMARILLO NORTH TEXAS EMERGENCY CENTER, LLC
Provider Business Mailing Address
First Line : 1535 WEST LOOP S STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77027-0003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2101 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2513
Country : US
Telephone Number : 806-310-5086
Fax Number :
Authorized Official
Title or Position : ASSOCIATE DIRECTOR
Name : SARA SWIFT
Credential :
Telephone Number : 301-768-2639
Provider Enumeration Date : 07/27/2023
Last Update Date : 07/15/2024

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