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Organization

AMARILLO ENDOSCOPY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL FINKE (OFFICER/AUTHORIZED OFFICIAL)
(210) 478-5430
Entity
Organization

Contact information

Practice address
6833 PLUM CREEK DR, AMARILLO, TX 79124-1602
(806) 467-9820
(806) 467-9743
Mailing address
6833 PLUM CREEK DR, AMARILLO, TX 79124-1602
(806) 467-9820

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007790
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007790
STATE LICENSE
TX
05
160255901
TX
01
HH1587
BCBS OF TEXAS
TX
01
P00097841
RAILROAD MEDICARE
TX
01
X70695
UPIN
TX
Enumeration date
07/28/2005
Last updated
09/15/2025
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