Polk, Gary R.
Polk, Gary R. is an individual health care provider with primary practice located at 6700 W 9Th Ave , Amarillo TX 79106-1729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Polk, Gary R. can be contacted via phone (806) 358-0200.Contact Information
Primary practice address
6700 W 9Th Ave
Amarillo TX 79106-1729
Phone: (806) 358-0200
Fax: (806) 356-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | F4385 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | F4385 | Texas |
Profile Details
| NPI number | 1972530780 |
|---|---|
| LBN Legal business name | Polk, Gary R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Oct 4th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972530780 | NPPES |
| Texas | MEDICAID | 135824409 |
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