Individual
DR. FREDERICK DEAN POAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8960 HILLSIDE RD, AMARILLO, TX 79119-7323
(063) 517-7068
Mailing address
8960 HILLSIDE RD, AMARILLO, TX 79119-7323
(806) 351-7706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q6086
TX
207Q00000X
Family Medicine Physician
Q6086
TX
Other
Enumeration date
04/14/2014
Last updated
03/27/2023
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