Organization
FMC CLINICS II PA
Active
Other names
Amarillo Senior Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI KEELER (MANAGER)
(806) 353-6400
Entity
Organization
Contact information
Practice address
14 MEDICAL DR, AMARILLO, TX 79106-4165
(806) 358-8300
(806) 358-8608
Mailing address
14 MEDICAL DR, AMARILLO, TX 79106-4165
(806) 358-8300
(806) 358-8608
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197334901
—
TX
01
—
DO1728
MEDICARE RAILROAD
TX
Enumeration date
06/09/2008
Last updated
03/09/2009
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