Individual
MARIA FERNANDA CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
713 N TAYLOR ST, AMARILLO, TX 79107
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45393
TX
208000000X
Pediatrics Physician
R7190
TX
2080P0205X
Pediatric Endocrinology Physician
45393
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
R7190
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10385223
—
NM
05
—
358681001
—
TX
05
—
358681002
—
TX
05
—
358681003
—
TX
05
—
358681005
—
TX
Enumeration date
10/11/2011
Last updated
07/09/2018
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