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Organization
SPMG SIGNATURE PAMPA MEDICAL GROUP
Active
Organization
SPMG SIGNATURE PAMPA MEDICAL GROUP
Active
Other names
Pampa Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
TWILA THOMAS (INTERIM CEO)
(806) 663-5500
Entity
Organization
Contact information
Practice address
3023 PERRYTON PKWY STE 101, PAMPA, TX 79065-2817
(806) 665-0801
Mailing address
ONE MEDICAL PLAZA, C/O PAMPA MEDICAL GROUP, PAMPA, TX 79065-2814
(806) 663-5695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210094301
—
TX
Enumeration date
08/25/2009
Last updated
11/03/2016
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