Organization
FMC CLINICS, P.A.
Active
Other names
dba Living Well Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SUE HURT (DIRECTOR, CORPORATE CREDENTIALING)
(806) 355-8900
Entity
Organization
Contact information
Practice address
5807 SW 45TH AVENUE, SUITE 100, AMARILLO, TX 79109-5205
(806) 355-2900
(806) 355-2929
Mailing address
5807 SW 45TH AVENUE, SUITE 100, AMARILLO, TX 79109-5205
(806) 355-2900
(806) 355-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213058501
—
TX
Enumeration date
08/21/2007
Last updated
04/23/2012
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