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Organization

PALO DURO ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY M GREEN CRNA (PRESIDENT/CEO)
(806) 206-6942
Entity
Organization

Contact information

Practice address
1900 MEDI PARK DR, AMARILLO, TX 79106-2187
(806) 355-9447
Mailing address
211 AOUDAD RANCH TRL, AMARILLO, TX 79118-1441
(806) 206-6942

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
03/05/2020
Last updated
03/05/2020
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