Organization
AMARILLO COLONOSCOPY CENTER LP
Active
Other names
Panhandle Endoscopy Center LP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMBASIVA RAO MARUPUDI M.D. (ADMINISTRATOR)
(806) 367-8537
Entity
Organization
Contact information
Practice address
800 QUAIL CREEK DRIVE, SUITE 102, AMARILLO, TX 79124-1634
(806) 367-8537
(806) 367-8538
Mailing address
800 QUAIL CREEK DRIVE, SUITE 102, AMARILLO, TX 79124-1634
(806) 367-8537
(806) 367-8538
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07690690
AETBA INS CO
—
01
—
HH039A
BLUE CROSS BLUE SHIELD
TX
01
—
P00300440
RAILROAD MEDICARE
—
Enumeration date
07/02/2006
Last updated
01/22/2014
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