Individual
JADA L TEAFATILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SW 14TH AVE # AVW, AMARILLO, TX 79101-4140
(806) 337-3169
Mailing address
400 SW 14TH AVE # AVW, AMARILLO, TX 79101-4140
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2077279
TX
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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