| Tc Amarillo 1 Llc | |
|
605 S Bliss Ave Ste 2 Dumas TX 79029-4434 | |
| (806) 421-0425 | |
| Not Available |
| Full Name | Tc Amarillo 1 Llc |
|---|---|
| Speciality | Case Management |
| Location | 605 S Bliss Ave Ste 2, Dumas, Texas |
| Authorized Official Name and Position | Jerred Hurst (OWNER) |
| Authorized Official Contact | 8064210425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tc Amarillo 1 Llc 605 S Bliss Ave Ste 2 Dumas TX 79029-4434 Ph: () - | Tc Amarillo 1 Llc 605 S Bliss Ave Ste 2 Dumas TX 79029-4434 Ph: (806) 421-0425 |
| NPI Number | 1649085952 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649085952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |