Organization
FAMILY MEDICINE CENTER OF PAMPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CRAWFORD (ADMINISTRATOR)
(806) 665-0801
Entity
Organization
Contact information
Practice address
3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2821
(806) 665-0801
(806) 665-8503
Mailing address
3023 PERRYTON PKWY, SUITE 101, PAMPA, TX 79065-2817
(806) 665-0801
(806) 665-8503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L20L
BCBS
TX
01
—
45D0864498
CLIA
TX
05
—
83668601
—
TX
01
—
R17034
RADIOLOGY
TX
Enumeration date
07/10/2006
Last updated
08/22/2008
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