Organization
AMARILLO DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MCCARTHY MD (PHYSICIAN/PARTNER)
(806) 358-1497
Entity
Organization
Contact information
Practice address
4512 VAN WINKLE DR, AMARILLO, TX 79119
(806) 358-1497
(806) 358-1375
Mailing address
4512 VAN WINKLE DR, AMARILLO, TX 79119
(806) 358-1497
(806) 358-1375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L5831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157343801
—
TX
Enumeration date
07/20/2005
Last updated
07/23/2021
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