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NPI Code Detail

MEDICARE: AMARILLO HEART GROUP, LLP

MEDICARE: AMARILLO HEART GROUP, LLP
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
12085R0202XDiagnostic Radiology Physician
2207RC0001XClinical Cardiac Electrophysiology Physician
3207U00000XNuclear Medicine Physician
4207UN0901XNuclear Cardiology Physician
52085B0100XBody Imaging Physician
62085N0904XNuclear Radiology Physician
72085R0204XVascular & Interventional Radiology Physician
82085U0001XDiagnostic Ultrasound Physician
92086S0129XVascular Surgery Physician
10207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649247396
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMARILLO HEART GROUP, LLP
Provider Business Mailing Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-358-6726
Provider Business Practice Location Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4714
Fax Number : 806-468-0283
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : TERRI MARTINEZ
Credential : CEO
Telephone Number : 806-358-4596
Provider Enumeration Date : 03/01/2006
Last Update Date : 09/28/2021

Similar Medicare Providers

1487628293 — MARC MOREAU M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-468-0240
1386610285 — ISMAILE S.H. ABDALLA M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-358-6726
1891762787 — JON LUIGI HADDAD M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-358-6726
1639146533 — ERNESTO RIVERA M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-468-0240
1659348555 — ROBERT E JACKSON III M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-358-6726
1922181916 — ALFRED ALAN S.P. CHU M.D.
Practice Location Address:
1901 PORT LN
AMARILLO, TX
79106-2430
Practice Phone: 806-358-4596
Practice Fax: 806-468-0240

Directions to “AMARILLO HEART GROUP, LLP ” Practice Location

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