Organization
AMARILLO PATHOLOGY GROUP CLINICAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA WALTON (FINANCE ADMIN)
(806) 355-7286
Entity
Organization
Contact information
Practice address
3501 S SONCY RD, SUITE 116, AMARILLO, TX 79119-6407
(806) 355-7286
Mailing address
PO BOX 50117, AMARILLO, TX 79159-0117
(806) 355-7286
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086CC
BCTX
—
Enumeration date
05/05/2006
Last updated
09/20/2007
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