Northwest Texas Wyatt Clinic Pllc

NPI #1780008904 in Amarillo, Texas

Provider Information

NPI Number: 1780008904
Entity Type: Organization
Organization Name: Northwest Texas Wyatt Clinic Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 7, 2014
Last Updated: Jun 27, 2019

Practice Location

Address: 1411 E AMARILLO BLVD
City: Amarillo
State: Texas
ZIP Code: 79107-5555
Phone: (806) 354-1015

Authorized Official

Name: TODD EVANS
Title: VP
Phone: (610) 768-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
General Practice	208D00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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