Individual
MS. WANDA SUE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW# 16419
Contact information
Practice address
1000 MARTIN RD, AMARILLO, TX 79107-6850
(806) 378-6527
Mailing address
807 S BOLTON ST SPC 7, AMARILLO, TX 79104-2331
(806) 282-6931
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
16419
TX
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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