Organization
FMC CLINICS II PA
Active
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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