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Organization
NWTX PHYSICIAN NETWORK, PLLC
Active
Organization
NWTX PHYSICIAN NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2505 LAKEVIEW DR, SUITE 205, AMARILLO, TX 79109-1527
(806) 803-9552
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3394710-01
—
TX
01
—
DU9905
RR MEDICARE
TX
Enumeration date
02/07/2014
Last updated
06/18/2025
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