Organization
EMERGENCY SERVICES FOUNDATION OF TEXAS
Active
Organization
EMERGENCY SERVICES FOUNDATION OF TEXAS
Active
Other names
Genesis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA NICHOLE GARCIA (CLINIC ADMINISTRATOR)
(806) 688-4205
Entity
Organization
Contact information
Practice address
107 W 30TH AVE, PAMPA, TX 79065-2809
(806) 688-4205
(806) 688-4211
Mailing address
107 W 30TH AVE, PAMPA, TX 79065-2809
(806) 688-4205
(806) 688-4211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/10/2011
Last updated
02/24/2012
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