Individual
ELLEN ELIZABETH HAMPSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9559
(806) 351-3765
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING DEPT., AMARILLO, TX 79106-1708
(806) 414-9559
(806) 351-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N6340
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214440 A
—
OK
05
—
284602401
—
TX
05
—
86978551
—
NM
Enumeration date
06/18/2008
Last updated
04/29/2015
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