Individual provider · Type 1 NPI
Wanda Sue Pugh, CHW# 16419
Community Health Clinic/Center · Amarillo, TX
NPI number
1437997111
Active
Practice location
1000 Martin Rd
Amarillo, TX 79107-6850
Mailing address
807 S Bolton St Spc 7
Amarillo, TX 79104-2331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 16419 (TX) |
Community Health Clinic/Center: Definition to come...
About NPI 1437997111
Wanda Sue Pugh, CHW# 16419's National Provider Identifier is 1437997111, issued on Jul 17, 2024. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Amarillo, TX. The record was last updated on Jul 17, 2024.