Organization
FLETCHER AND O'GRADY PEDIATRIC ASSOCIATES
Active
Other names
Amarillo Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SUZANNE WHITE (OFFICE MANAGER)
(806) 468-6280
Entity
Organization
Contact information
Practice address
17 CARE CIR, AMARILLO, TX 79124-2105
(806) 468-6280
(806) 468-7174
Mailing address
17 CARE CIR, AMARILLO, TX 79124-2105
(806) 468-6280
(806) 468-7174
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
251B00000X
Case Management Agency
675512
TX
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092290801
—
TX
05
—
092290802
—
TX
05
—
092290803
—
TX
05
—
092290804
—
TX
Enumeration date
07/18/2006
Last updated
04/01/2016
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