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Organization

BSA PHYSICIANS GROUP INC

Active
Other names
Amarillo Surgical Group
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN T HARPOLE (DIRECTOR)
(806) 212-6965
Entity
Organization

Contact information

Practice address
1000 S COULTER ST STE 200, AMARILLO, TX 79106-1841
(806) 212-6604
(806) 212-0355
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000MT10
BCBS GROUP
TX
Enumeration date
08/20/2006
Last updated
01/27/2026
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