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1416 S Hayden St Amarillo TX 79102-1635 | |
(806) 374-1919 | |
(806) 379-9213 |
Full Name | |
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Speciality | Nurse Practitioner - Family |
Location | 1416 S Hayden St, Amarillo, Texas |
Authorized Official Name and Position | Susan A Baltz (FAMILY NURSE PRACTITIONER OWNER) |
Authorized Official Contact | 8063741919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1416 S Hayden St Amarillo TX 79102-1635 Ph: (806) 374-1919 | 1416 S Hayden St Amarillo TX 79102-1635 Ph: (806) 374-1919 |
NPI Number | 1265519623 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 11/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265519623 | NPI | - | NPPES |
092282501 | Medicaid | TX | |
8P0790 | Other | TX | BLUE CROSS |
092280502 | Other | TX | NHIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K2883 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 251159 (Texas) | Primary |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |