Organization
INTEGRATED OF AMARILLO INC
Active
Other names
Plum Creek Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
5601 PLUM CREEK DR, AMARILLO, TX 79124-1801
(180) 635-1100
(180) 635-1386
Mailing address
5601 PLUM CREEK DR, AMARILLO, TX 79124-1801
(180) 635-1100
(180) 635-1386
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
000796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112730002
—
TX
Enumeration date
10/07/2005
Last updated
07/16/2014
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