Organization
AMARILLO VA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON K JAQUA FACHE (DIRECTOR)
(806) 355-9703
Entity
Organization
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
06/13/2008
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