Northwest Texas Wyatt Clinic Pllc

LBN: Northwest Texas Wyatt Clinic Pllc
Northwest Texas Wyatt Clinic Pllc is an health care organization with primary practice located at 1411 E Amarillo Blvd , Amarillo TX 79107-5555. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Northwest Texas Wyatt Clinic Pllc can be contacted via phone (806) 354-1015, or through Evans, Todd via phone (610) 768-3300.

Contact Information

Primary practice address
1411 E Amarillo Blvd Amarillo TX 79107-5555
Phone: (806) 354-1015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Todd
Phone: (610) 768-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1780008904
LBN Legal business name Northwest Texas Wyatt Clinic Pllc
DBA Doing business as
Authorized official Evans, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2014
Last updated Jun 27th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780008904 NPPES
Texas Other DV2201 RR MEDICARE
Texas MEDICAID 3393704 01 RR MEDICARE

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