# AMARILLO PEDIATRIC CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164892956
- **Authorized official:** ERICA LEATHERS NP (MANAGING PARTNER)
- **Authorized official phone:** (806) 359-1046

## Contact information

- **Practice address:** 1901 MEDI PARK DR, STE 65, AMARILLO, TX 79106-2110
- **Practice address phone:** (806) 468-4317
- **Mailing address:** 1901 MEDI PARK DR, STE 65, AMARILLO, TX 79106-2110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015