Grand Medical Clinic

NPI #1265519623 in Amarillo, Texas

Provider Information

NPI Number
1265519623
Entity Type
Organization
Organization Name
Grand Medical Clinic
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 1, 2006
Last Updated
Nov 20, 2009

Practice Location

Address
1416 S HAYDEN ST
State
Texas
ZIP Code
79102-1635
Phone
(806) 374-1919

Authorized Official

Name
MS. SUSAN A BALTZ, FAMILY NURSE PRACTIT
Title
FAMILY NURSE PRACTITIONER OWNER
Phone
(806) 374-1919

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily

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