Organization
AMARILLO COLON AND RECTAL CLINIC PA
Active
Organization
AMARILLO COLON AND RECTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMBASIVA RAO MARUPUDI MD (PRESIDENT)
(806) 358-7911
Entity
Organization
Contact information
Practice address
800 QUAIL CREEK DRIVE, SUITE 103, AMARILLO, TX 79124-1634
(806) 358-7911
(806) 358-9600
Mailing address
800 QUAIL CREEK DRIVE, SUITE 103, AMARILLO, TX 79124-1634
(806) 358-7911
(806) 358-9600
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007KZ
BLUE CROSS BLUE SHIELD
TX
01
—
7330374
AETNA INS CO
—
01
—
DB7392
RAILROAD MEDICARE
—
Enumeration date
07/31/2006
Last updated
08/22/2020
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