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NPI Code Detail

MEDICARE: AMARILLO EMERGENCY CENTER LLC

MEDICARE: AMARILLO 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

General Provider Information

NPI Number : 1427441559
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMARILLO EMERGENCY CENTER LLC
Provider Business Mailing Address
First Line : 2101 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2513
Country : US
Telephone Number : 806-350-7744
Fax Number : 806-350-7776
Provider Business Practice Location Address
First Line : 2101 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2513
Country : US
Telephone Number : 806-350-7744
Fax Number : 806-350-7776
Authorized Official
Title or Position : CEO
Name : DR. GERAD A TROUTMAN
Credential : M.D.
Telephone Number : 806-350-7744
Provider Enumeration Date : 03/13/2015
Last Update Date : 08/21/2015

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