Organization
UNIV PHYS, AMARILLO PEDI-PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE RUSSELL CPCS (CREDENTIALING COORDINATOR)
(806) 354-5495
Entity
Organization
Contact information
Practice address
1600 S COULTER ST, SUITE F600, AMARILLO, TX 79106-1710
(806) 468-4300
(806) 468-4398
Mailing address
1600 S COULTER ST, SUITE F600, AMARILLO, TX 79106-1710
(806) 468-4300
(806) 468-4398
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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