Organization
AMARILLO PATHOLOGY GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH LEA CARDEN (PRACTICE ADMINISTRATOR)
(806) 418-3845
Entity
Organization
Contact information
Practice address
1600 WALLACE BLVD DEPT OF, AMARILLO, TX 79106-1799
(806) 212-5942
Mailing address
PO BOX 51525, AMARILLO, TX 79159-1525
(806) 355-7286
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094983601
—
TX
Enumeration date
05/05/2006
Last updated
01/27/2025
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