Archer, Branch T

Archer, Branch T is an individual health care provider with primary practice located at 1901 Medi Park Ste 2050, Amarillo TX 79106-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Archer, Branch T can be contacted via phone (806) 355-3352.

Contact Information

Primary practice address
1901 Medi Park Ste 2050 Amarillo TX 79106-2110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J1848 Texas

Profile Details

NPI number 1760443212
LBN Legal business name Archer, Branch T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760443212 NPPES
Other 107648100 FIRSTCARE
MEDICAID 132619103 FIRSTCARE
Other MDJ1848 FIRSTCARE
MEDICAID 100151800A FIRSTCARE
Other 82R442 FIRSTCARE
MEDICAID J8598 FIRSTCARE

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