Individual
TAGHREED N MAAYTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 S SONCY RD STE 102, AMARILLO, TX 79119-6405
(806) 353-7900
(806) 353-8321
Mailing address
3501 S SONCY RD STE 102, AMARILLO, TX 79119-6405
(806) 353-7900
(806) 353-8321
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
J9184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110606402
—
TX
01
—
752736163
TAX ID
TX
Enumeration date
01/03/2007
Last updated
12/30/2020
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