Organization
AMARILLO HOSPITALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAM LEE MD (PARTNER)
(806) 358-4388
Entity
Organization
Contact information
Practice address
1301 S COULTER ST STE 405, AMARILLO, TX 79106-1766
(806) 358-4388
(806) 358-3728
Mailing address
1301 S COULTER ST STE 405, AMARILLO, TX 79106-1766
(806) 358-4388
(806) 358-3728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069QG
BCBS
TX
05
—
188227601
—
TX
Enumeration date
10/20/2006
Last updated
03/13/2012
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