Organization
AMARILLO STAT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LEE WILLIAMS (BUSINESS MANAGER)
(806) 771-0033
Entity
Organization
Contact information
Practice address
6014 S WESTERN ST, SUITE 400, AMARILLO, TX 79110-3612
(806) 553-2728
(806) 553-2872
Mailing address
1115 YUCCA DR, AMARILLO, TX 79108-3709
(806) 231-4353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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