# ALLEGIANCE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164154068
- **Authorized official:** SHELLY WRAY FNP (OWNER)
- **Authorized official phone:** (806) 654-3421

## Contact information

- **Practice address:** 1901 MEDI PARK DR STE 6, AMARILLO, TX 79106-2105
- **Practice address phone:** (806) 576-1095
- **Mailing address:** 1901 MEDI PARK DR STE 6, AMARILLO, TX 79106-2105
- **Mailing address phone:** (806) 576-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 08/22/2022