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NPI Code Detail

MEDICARE: WEST TEXAS A&M UNIVERSITY

MEDICARE: WEST TEXAS A&M UNIVERSITY
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
1363LF0000XFamily Nurse PractitionerTX

General Provider Information

NPI Number : 1538167853
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST TEXAS A&M UNIVERSITY
Provider Business Mailing Address
First Line : 4400 S WASHINGTON ST
Second Line : SUITE 107
City : AMARILLO
State : TX
Zip : 79110-2052
Country : US
Telephone Number : 806-355-5721
Fax Number : 806-355-5775
Provider Business Practice Location Address
First Line : 4400 S WASHINGTON ST
Second Line : SUITE 107
City : AMARILLO
State : TX
Zip : 79110-2052
Country : US
Telephone Number : 806-355-5721
Fax Number : 806-355-5775
Authorized Official
Title or Position : CLINIC MANAGER
Name : MRS. KENDALL E BUNCH
Credential :
Telephone Number : 806-355-5721
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

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Directions to “WEST TEXAS A&M UNIVERSITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.