Organization
AMMAR JARROUS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFFIE MCDONALD (ASSISTANT ADMINSTRATOR)
(806) 355-3022
Entity
Organization
Contact information
Practice address
6810 PLUM CREEK, AMARILLO, TX 79124
(806) 355-3022
(806) 355-2998
Mailing address
3300 COULTER, STE 3 BOX 310, AMARILLO, TX 79106
(806) 355-3022
(806) 355-2998
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L2953
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088KL
BLUE CROOS BLUE SHIELD
TX
Enumeration date
01/02/2008
Last updated
01/14/2009
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