Mckenzie, Dianne Sharon

Mckenzie, Dianne Sharon is an individual health care provider with primary practice located at 1901 Medi Park Dr Suite 2001, Amarillo TX 79106-2110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mckenzie, Dianne Sharon can be contacted via phone (806) 468-4350.

Contact Information

Primary practice address
1901 Medi Park Dr Suite 2001 Amarillo TX 79106-2110
Fax: (806) 468-4351
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L4031 Texas

Profile Details

NPI number 1457335671
LBN Legal business name Mckenzie, Dianne Sharon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 16th, 2016 - about 8 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 1457335671 NPPES
Texas MEDICAID 150424303

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