Organization
CENTER FOR HEALTH SERVICES,LLC
Active
Other names
CLINICA HISPANA AMARILLO
Organization subpart
No
Provider details
NPI number
Authorized official
ALIESKI MASTRAPA DOMINGUEZ (MEMBER)
(281) 381-6190
Entity
Organization
Contact information
Practice address
818 MARTIN RD, SUITE 3, AMARILLO, TX 77365
(806) 418-4366
(806) 418-4365
Mailing address
PO BOX 2799, PORTER, TX 77365-2799
(281) 381-6190
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2022
Last updated
08/31/2023
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