# FAMILY MEDICINE CENTER OF PAMPA PLLC

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

## Provider details

- **NPI number:** 1174556187
- **Authorized official:** KATHY CRAWFORD (ADMINISTRATOR)
- **Authorized official phone:** (806) 665-0801

## Contact information

- **Practice address:** 3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2821
- **Practice address phone:** (806) 665-0801
- **Practice address fax:** (806) 665-8503
- **Mailing address:** 3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2817
- **Mailing address phone:** (806) 665-0801
- **Mailing address fax:** (806) 665-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2008