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Organization

BSA PHYSICIANS GROUP INC

Active
Other names
Family Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN T HARPOLE (DIRECTOR)
(806) 212-6965
Entity
Organization

Contact information

Practice address
1000 S COULTER ST, AMARILLO, TX 79106-1840
(806) 212-6353
(806) 212-0558
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D1005961
CLIA NUMBER
TX
Enumeration date
05/25/2006
Last updated
01/27/2026
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