Organization
EXCEPTIONAL AMARILLO S COULTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED S MAHBOUBI (CFO)
(469) 341-7800
Entity
Organization
Contact information
Practice address
5800 S COULTER ST, AMARILLO, TX 79119-6203
(469) 341-7800
(346) 215-1007
Mailing address
5800 S COULTER ST, AMARILLO, TX 79119-6203
(469) 341-7800
(346) 215-1007
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
07/22/2020
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