Organization
AMARILLO PEDIATRIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LEATHERS NP (MANAGING PARTNER)
(806) 359-1046
Entity
Organization
Contact information
Practice address
1901 MEDI PARK DR, STE 65, AMARILLO, TX 79106-2110
(806) 468-4317
Mailing address
1901 MEDI PARK DR, STE 65, AMARILLO, TX 79106-2110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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