Wyatt Clinic, P.A.
LBN: Wyatt Clinic, P.A.
Wyatt Clinic, P.A. is an health care organization with primary practice located at 1411 E Amarillo Blvd , Amarillo TX 79107-5555. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Wyatt Clinic, P.A. can be contacted via phone (806) 351-7200, or through Hurt, Carolyn Sue via phone (806) 355-8900.
Contact Information
Primary practice address
1411 E Amarillo Blvd
Amarillo TX 79107-5555
Phone: (806) 351-7200
Fax: (806) 351-7274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1639280431 |
|---|---|
| LBN Legal business name | Wyatt Clinic, P.A. |
| DBA Doing business as | |
| Authorized official | Hurt, Carolyn Sue |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 30th, 2012 - about 12 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 | 1639280431 | NPPES |
| Texas | MEDICAID | 168039901 |
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