Organization
AMARILLO NEPHROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HENDRICK M.D. (PRESIDENT)
(806) 418-8620
Entity
Organization
Contact information
Practice address
1805 POINT WEST PKWY STE 100, AMARILLO, TX 79124-2166
(806) 418-8620
(806) 418-8626
Mailing address
1805 POINT WEST PKWY, SUITE 100, AMARILLO, TX 79124-2165
(806) 418-8620
(806) 418-8626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00008AZ
TEXAS BLUE CROSS BLUE SHI
TX
01
—
CE1123
RR MEDICARE
TX
01
—
P3437
NEW MEXICO MEDICAID
NM
05
—
Z00008AZ4
—
TX
Enumeration date
08/20/2006
Last updated
02/07/2021
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