Texas Tech University Health Services Center-Amarillo

NPI #1588775381 in Amarillo, Texas

Provider Information

NPI Number: 1588775381
Entity Type: Organization
Organization Name: Texas Tech University Health Services Center-Amarillo
Primary Specialty: Dentist
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 206 NE 7TH
City: Amarillo
State: Texas
ZIP Code: 79101
Phone: (806) 374-9964

Authorized Official

Name: MRS. DENISE RUSSELL, CPCS
Title: CREDENTIALING COORDINATOR
Phone: (806) 354-5495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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