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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780008904 | NPPES |
| Texas | Other | DV2201 | RR MEDICARE |
| Texas | MEDICAID | 3393704 01 | RR MEDICARE |
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