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Organization
FMC CLINICS, P.A.
Active
Organization
FMC CLINICS, P.A.
Active
Other names
dba Living Well Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SUE HURT (DIRECTOR, CORPORATE CREDENTIALING)
(806) 355-8900
Entity
Organization
Contact information
Practice address
5807 SW 45TH AVENUE, SUITE 100, AMARILLO, TX 79109-5205
(806) 355-2900
(806) 355-2929
Mailing address
5807 SW 45TH AVENUE, SUITE 100, AMARILLO, TX 79109-5205
(806) 355-2900
(806) 355-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/21/2007
Last updated
04/23/2012
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