Organization
AMY CARRILLO NP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIANE CARRILLO FNP-C (FNP/OWNER)
(432) 770-2107
Entity
Organization
Contact information
Practice address
808 TOWER DR STE 10, ODESSA, TX 79761-4270
(432) 770-2107
Mailing address
10555 W HACIENDA DR, ODESSA, TX 79763-7208
(432) 770-2107
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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