| Texas Tech University Health Sciences Center Amarillo | |
|
1400 S Coulter St Amarillo TX 79106-1786 | |
| (806) 414-9559 | |
| (806) 351-3765 |
| Full Name | Texas Tech University Health Sciences Center Amarillo |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Coulter St, Amarillo, Texas |
| Authorized Official Name and Position | April Almond-diaz (ASST DEAN OF FINANCE & ADMIN) |
| Authorized Official Contact | 8064149996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University Health Sciences Center Amarillo 1400 S Coulter St Amarillo TX 79106-1786 Ph: (806) 414-9562 | Texas Tech University Health Sciences Center Amarillo 1400 S Coulter St Amarillo TX 79106-1786 Ph: (806) 414-9559 |
| NPI Number | 1013942150 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 04/15/2025 |
| Medicare PECOS PAC ID | 9234037847 |
|---|---|
| Medicare Enrollment ID | O20031220000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013942150 | NPI | - | NPPES |
| G4070 | Medicaid | NM | |
| 100759180B | Medicaid | OK | |
| 112119601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Shannon L Herrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629000823 PECOS PAC ID: 8628037819 Enrollment ID: I20041004001042 |
| Provider Name | Diana Lebron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205916608 PECOS PAC ID: 2567422728 Enrollment ID: I20041013000408 |
| Provider Name | Teresa E Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023040227 PECOS PAC ID: 2365492840 Enrollment ID: I20050124000641 |
| Provider Name | Walter J Bridges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750397865 PECOS PAC ID: 0446207765 Enrollment ID: I20050407000891 |
| Provider Name | Rolf W Habersang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346254331 PECOS PAC ID: 1951358274 Enrollment ID: I20050407000923 |
| Provider Name | Nicole D Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477587079 PECOS PAC ID: 1850348178 Enrollment ID: I20050407000930 |
| Provider Name | Jason G Nirgiotis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124032115 PECOS PAC ID: 6305885963 Enrollment ID: I20050503000500 |
| Provider Name | Samuel L Zuckerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831156595 PECOS PAC ID: 8426079526 Enrollment ID: I20051216000474 |
| Provider Name | Todd Edward Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093747156 PECOS PAC ID: 0648202648 Enrollment ID: I20060103000070 |
| Provider Name | Terry W Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073792107 PECOS PAC ID: 7416963541 Enrollment ID: I20060228000140 |
| Provider Name | Stacia W Lusby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508960832 PECOS PAC ID: 3971605825 Enrollment ID: I20070222000617 |
| Provider Name | Michael D Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912900028 PECOS PAC ID: 1254404791 Enrollment ID: I20080717000142 |
| Provider Name | Elizabeth S Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023280419 PECOS PAC ID: 2668546474 Enrollment ID: I20080728000599 |
| Provider Name | Adaobi C Kanu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518905934 PECOS PAC ID: 5395810741 Enrollment ID: I20080819000622 |
| Provider Name | Angela A Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639397193 PECOS PAC ID: 9931274149 Enrollment ID: I20080822000647 |
| Provider Name | George T Barnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699969691 PECOS PAC ID: 1254407125 Enrollment ID: I20080829000494 |
| Provider Name | Tetyana L Vasylyeva |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255542023 PECOS PAC ID: 8426114174 Enrollment ID: I20090304000246 |
| Provider Name | Rakhshanda Layeequr-rahman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992787311 PECOS PAC ID: 3274514823 Enrollment ID: I20090311000357 |
| Provider Name | Janet L Meller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508808833 PECOS PAC ID: 0749258689 Enrollment ID: I20090626000268 |
| Provider Name | Brian Martin Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689653172 PECOS PAC ID: 3577509504 Enrollment ID: I20090803000450 |
| Provider Name | Beverly D Axe-lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679504757 PECOS PAC ID: 2567507353 Enrollment ID: I20100304000350 |
| Provider Name | Robert P Kauffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841222049 PECOS PAC ID: 8921134214 Enrollment ID: I20100325000650 |
| Provider Name | Rodney B Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942235080 PECOS PAC ID: 9830224104 Enrollment ID: I20100405000216 |
| Provider Name | Muhammad T Subhani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619979473 PECOS PAC ID: 7315995230 Enrollment ID: I20100823000371 |
| Provider Name | Lezlie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275865255 PECOS PAC ID: 9436273505 Enrollment ID: I20100825001013 |
| Provider Name | David D Vineyard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952360802 PECOS PAC ID: 0840489803 Enrollment ID: I20110106001072 |
| Provider Name | Sue A Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891950721 PECOS PAC ID: 8729277454 Enrollment ID: I20110112000447 |
| Provider Name | Kimberly A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205868411 PECOS PAC ID: 7315122116 Enrollment ID: I20110420000640 |
| Provider Name | Stacy T Steans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447318928 PECOS PAC ID: 3173670833 Enrollment ID: I20110520000082 |
| Provider Name | Olubukunola A Adesanya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447356803 PECOS PAC ID: 3173602208 Enrollment ID: I20110706000281 |
| Provider Name | Esther L Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295753747 PECOS PAC ID: 8527236652 Enrollment ID: I20110715000591 |
| Provider Name | Steven E Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891956371 PECOS PAC ID: 9638347321 Enrollment ID: I20110725000345 |
| Provider Name | Johnnie W Faircloth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912168600 PECOS PAC ID: 4082882402 Enrollment ID: I20110729000091 |
| Provider Name | Amanda D Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124280680 PECOS PAC ID: 3072782069 Enrollment ID: I20110809000105 |
| Provider Name | Muhammad H Nazim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992902209 PECOS PAC ID: 4688845696 Enrollment ID: I20110923000342 |
| Provider Name | Ellen E Hampsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821259243 PECOS PAC ID: 7911179379 Enrollment ID: I20111006000335 |
| Provider Name | Chad Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039567 PECOS PAC ID: 3274793161 Enrollment ID: I20120330000313 |
| Provider Name | Srilatha Alapati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568650281 PECOS PAC ID: 9931355716 Enrollment ID: I20120809000785 |
| Provider Name | Izi D Obokhare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437354784 PECOS PAC ID: 6305092891 Enrollment ID: I20120816000486 |
| Provider Name | Stephen John Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508028283 PECOS PAC ID: 9032366976 Enrollment ID: I20120828000267 |
| Provider Name | Joan M Potter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215210448 PECOS PAC ID: 2365692985 Enrollment ID: I20121017000185 |
| Provider Name | Jennifer N Milner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457514135 PECOS PAC ID: 6204087943 Enrollment ID: I20121106000545 |
| Provider Name | Eric C Ehle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114238839 PECOS PAC ID: 6002076932 Enrollment ID: I20130910000180 |
| Provider Name | Nathan J Hansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609088822 PECOS PAC ID: 1254557135 Enrollment ID: I20140730000538 |
| Provider Name | Lajohn B Quigley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609076959 PECOS PAC ID: 5092949552 Enrollment ID: I20141015000790 |
| Provider Name | Tanay M Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629325857 PECOS PAC ID: 7719109651 Enrollment ID: I20141110002074 |
| Provider Name | Hassan Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295020386 PECOS PAC ID: 1456573724 Enrollment ID: I20141121000701 |
| Provider Name | Ferdinand Reyes Rico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164435202 PECOS PAC ID: 2769531086 Enrollment ID: I20141230000754 |
| Provider Name | Amanda Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306123385 PECOS PAC ID: 9335468800 Enrollment ID: I20150505001067 |
| Provider Name | Smita Bhaskaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720237696 PECOS PAC ID: 4385861574 Enrollment ID: I20150603001641 |
| Provider Name | Sumesh Parat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821221698 PECOS PAC ID: 8123260312 Enrollment ID: I20150603002298 |
| Provider Name | Brandon Haney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083908073 PECOS PAC ID: 4587979182 Enrollment ID: I20150811005340 |
| Provider Name | Frederick D Poage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407125 PECOS PAC ID: 5395054662 Enrollment ID: I20151028000163 |
| Provider Name | Reid D Gehring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295193753 PECOS PAC ID: 5294032975 Enrollment ID: I20160323001725 |
| Provider Name | Jennifer A Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902268774 PECOS PAC ID: 4880992106 Enrollment ID: I20160419002261 |
| Provider Name | Rachel M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871836619 PECOS PAC ID: 2860799616 Enrollment ID: I20160624000196 |
| Provider Name | Renee J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356796445 PECOS PAC ID: 9133411325 Enrollment ID: I20160708000633 |
| Provider Name | Mary Grace B Bridges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609133362 PECOS PAC ID: 3274825211 Enrollment ID: I20160712000617 |
| Provider Name | Ashlee Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437603164 PECOS PAC ID: 8729367248 Enrollment ID: I20161128000015 |
| Provider Name | Celeste M Hollands |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720004971 PECOS PAC ID: 5193761252 Enrollment ID: I20170518001567 |
| Provider Name | Brenna D Melugin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518388610 PECOS PAC ID: 8628350709 Enrollment ID: I20170525000467 |
| Provider Name | Maria Fernanda Contreras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467736363 PECOS PAC ID: 3476821042 Enrollment ID: I20170622002717 |
| Provider Name | Raphael Josy Mattamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679993034 PECOS PAC ID: 5193021681 Enrollment ID: I20170818000754 |
| Provider Name | Enas Shanshen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093092389 PECOS PAC ID: 7012156870 Enrollment ID: I20170906000166 |
| Provider Name | Nichole Marie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742418 PECOS PAC ID: 2365716545 Enrollment ID: I20170927001308 |
| Provider Name | Nathan Elliot Kragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211223 PECOS PAC ID: 2668738501 Enrollment ID: I20171109002690 |
| Provider Name | Kathleen Campbell Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583695 PECOS PAC ID: 9032411087 Enrollment ID: I20180118002537 |
| Provider Name | Angela Ruth Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881104537 PECOS PAC ID: 5496016362 Enrollment ID: I20180312000303 |
| Provider Name | Bennet Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154813863 PECOS PAC ID: 6002161270 Enrollment ID: I20180613000328 |
| Provider Name | Yohey Hashimoto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902153661 PECOS PAC ID: 8022381698 Enrollment ID: I20180627002980 |
| Provider Name | Amy Leigh Stark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376988378 PECOS PAC ID: 1355582032 Enrollment ID: I20180821000297 |
| Provider Name | Richard D Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114337334 PECOS PAC ID: 2365746435 Enrollment ID: I20180821002820 |
| Provider Name | Jenny K Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407202641 PECOS PAC ID: 7719279488 Enrollment ID: I20190102002832 |
| Provider Name | Dorothy Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265709034 PECOS PAC ID: 0749447019 Enrollment ID: I20191120003109 |
| Provider Name | Shelby Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336786748 PECOS PAC ID: 2668807090 Enrollment ID: I20200114000007 |
| Provider Name | Spencer Pruitt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386964062 PECOS PAC ID: 1658518287 Enrollment ID: I20200311000926 |
| Provider Name | Jeannette Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801410063 PECOS PAC ID: 5294159067 Enrollment ID: I20200727001904 |
| Provider Name | Nolan D Farmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295269934 PECOS PAC ID: 9931479854 Enrollment ID: I20200728003976 |
| Provider Name | Anders J Leverton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477086148 PECOS PAC ID: 6305116559 Enrollment ID: I20200729001856 |
| Provider Name | Mohamed Elfedaly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972869964 PECOS PAC ID: 5395154777 Enrollment ID: I20210514002274 |
| Provider Name | Basem Gamal Abdelghany Soliman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063867505 PECOS PAC ID: 9739474826 Enrollment ID: I20210813001026 |
| Provider Name | Raja Jawad Kiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689024838 PECOS PAC ID: 8628357910 Enrollment ID: I20210902000199 |
| Provider Name | Tiffany Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003245218 PECOS PAC ID: 4688070329 Enrollment ID: I20210907000241 |
| Provider Name | Thomas Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750344388 PECOS PAC ID: 8820027477 Enrollment ID: I20220303002036 |
| Provider Name | Kristin L Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356092423 PECOS PAC ID: 4587050190 Enrollment ID: I20220407002001 |
| Provider Name | Rakesh Donthula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346602653 PECOS PAC ID: 5496093403 Enrollment ID: I20220822000832 |
| Provider Name | Kinsley Stepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073076907 PECOS PAC ID: 8224365994 Enrollment ID: I20220901000588 |
| Provider Name | Matthew Thigpen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700349354 PECOS PAC ID: 8426387077 Enrollment ID: I20220908000828 |
| Provider Name | Mujahed Laswi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477936979 PECOS PAC ID: 9638470651 Enrollment ID: I20220909002433 |
| Provider Name | Matthew Ryan Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063140820 PECOS PAC ID: 0648655795 Enrollment ID: I20220910000144 |
| Provider Name | Shaun Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972036747 PECOS PAC ID: 2264702463 Enrollment ID: I20230321001331 |
| Provider Name | Brandon K Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289811 PECOS PAC ID: 2860866423 Enrollment ID: I20230322000099 |
| Provider Name | Tosha Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114572666 PECOS PAC ID: 4880925031 Enrollment ID: I20230323003173 |
| Provider Name | Carly B Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083241343 PECOS PAC ID: 3274959879 Enrollment ID: I20230831000854 |
| Provider Name | Peyton Nicole Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736376 PECOS PAC ID: 4183068059 Enrollment ID: I20240219002821 |
| Provider Name | Delayna Kae Sowle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306616172 PECOS PAC ID: 3577908201 Enrollment ID: I20240304002021 |
| Provider Name | Joshua Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659968295 PECOS PAC ID: 7214336494 Enrollment ID: I20240612001316 |
| Provider Name | Sayyidda Mohammed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235704321 PECOS PAC ID: 2961807821 Enrollment ID: I20240827004382 |
| Provider Name | Alexis Borden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528696671 PECOS PAC ID: 8729402383 Enrollment ID: I20240920003050 |
| Provider Name | Alissa E Stuebgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790042091 PECOS PAC ID: 8123553542 Enrollment ID: I20241121004612 |
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 | |
Fmc Medical Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Coulter St Ste 1, Amarillo, TX 79106 Phone: 806-354-0404 Fax: 806-354-2810 | |
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 |