Organization · Type 2 NPI
Grand Medical Clinic
Family Nurse Practitioner · Amarillo, TX
NPI number
1265519623
Active
Practice location
1416 S Hayden St
Amarillo, TX 79102-1635
Fax (806) 379-9213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | K2883 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 251159 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265519623
Grand Medical Clinic's National Provider Identifier is 1265519623, issued on Nov 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Amarillo, TX. The record was last updated on Nov 20, 2009.