Individual
GARY R. POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6700 W 9TH AVE, AMARILLO, TX 79106-1729
(806) 358-0200
(806) 356-5511
Mailing address
PO BOX 840020, DALLAS, TX 75284-0020
(806) 358-0200
(806) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F4385
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
F4385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135824409
—
TX
Enumeration date
06/27/2006
Last updated
10/04/2017
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