Organization · NPI-2

Amarillo Va Health Care System

Clinic/Center · Amarillo, TX

NPI number1104807940
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1104807940
Entity type
Organization (NPI-2)
Legal business name
Amarillo Va Health Care System
Organization subpart
No
Enumeration date
Nov 9, 2005
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6010 W Amarillo Blvd
Amarillo, TX 79106-1990

Phone 806-355-9703

Mailing address

6010 W Amarillo Blvd
Amarillo, TX 79106-1990

Phone 806-355-9703

Authorized official

Byron K Jaqua
Director
8063559703

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