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Organization
CENTER FOR HEALTH SERVICES,LLC
Active
Organization
CENTER FOR HEALTH SERVICES,LLC
Active
Other names
CLINICA HISPANA AMARILLO
Organization subpart
No
Provider details
NPI number
Authorized official
ALIESKI MASTRAPA DOMINGUEZ (MEMBER)
(281) 381-6190
Entity
Organization
Contact information
Practice address
818 MARTIN RD, SUITE 3, AMARILLO, TX 77365
(806) 418-4366
(806) 418-4365
Mailing address
PO BOX 2799, PORTER, TX 77365-2799
(281) 381-6190
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2022
Last updated
08/31/2023
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