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Organization
FMC MEDICAL FOUNDATION, INC.
Active
Organization
FMC MEDICAL FOUNDATION, INC.
Active
Other names
Family Medicine Center on Coulter
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE FEEMSTER (CREDENTIALING SPECIALIST)
(806) 350-7325
Entity
Organization
Contact information
Practice address
1500 S. COULTER, SUITE 6, AMARILLO, TX 79106-1790
(806) 467-9777
(806) 467-9799
Mailing address
1500 S. COULTER, SUITE 6, AMARILLO, TX 79106-1790
(806) 467-9777
(806) 467-9799
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
07/12/2006
Last updated
05/03/2022
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