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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