| Amaro Integrative Medicine | |
|
1901 Medi Park Dr 1048 Amarillo TX 79106-2110 | |
| (806) 576-4999 | |
| (806) 589-1062 |
| Full Name | Amaro Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Medi Park Dr, Amarillo, Texas |
| Authorized Official Name and Position | Justin Aaron Amaro (D.O.) |
| Authorized Official Contact | 8065764999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amaro Integrative Medicine 1901 Medi Park Dr 1048 Amarillo TX 79106-2110 Ph: (806) 576-4999 | Amaro Integrative Medicine 1901 Medi Park Dr 1048 Amarillo TX 79106-2110 Ph: (806) 576-4999 |
| NPI Number | 1073920096 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 6608097746 |
|---|---|
| Medicare Enrollment ID | O20141015000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073920096 | NPI | - | NPPES |
| 291003YSJ1 | Other | TX | TX PROVIDER ID (TPI) |
| 320189901 | Medicaid | TX | |
| 291003YSJ1 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P6322 (Texas) | Primary |
| Provider Name | Justin Amaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194043216 PECOS PAC ID: 9739329731 Enrollment ID: I20130716000704 |
| Provider Name | Olga Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609275312 PECOS PAC ID: 7416176821 Enrollment ID: I20200313001570 |
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