Individual
HALIE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 206-0716
Mailing address
407 TAMMY AVE, AMARILLO, TX 79108-3209
(806) 206-0716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
967288
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1178406
TX
Other
Enumeration date
07/12/2024
Last updated
10/24/2024
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