| Grand Medical Clinic | |
|
1416 S Hayden St Amarillo TX 79102-1635 | |
| (806) 374-1919 | |
| (806) 379-9213 |
| Full Name | Grand Medical Clinic |
|---|---|
| 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 |
|---|---|
| Grand Medical Clinic 1416 S Hayden St Amarillo TX 79102-1635 Ph: (806) 374-1919 | Grand Medical Clinic 1416 S Hayden St Amarillo TX 79102-1635 Ph: (806) 374-1919 |
| NPI Number | 1265519623 |
|---|---|
| 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 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3113 Ross St, Amarillo, TX 79103 Phone: 806-374-7341 Fax: 806-322-0533 | |
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 | |
Fmc Medical Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121 Phone: 806-350-8850 Fax: 806-350-8855 | |
Regence Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 N Taylor St Ste B, Amarillo, TX 79107 Phone: 806-345-7917 Fax: 806-345-7921 | |
Msj Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Medical Dr Ste A, Amarillo, TX 79106 Phone: 806-355-9007 |