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Exceptional Amarillo S Coulter LLC

Clinic/Center, Emergency Care in Amarillo, TX. Organization (NPI-2).

NPI number1669938437
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1669938437
Entity type
Organization (NPI-2)
Legal business name
Exceptional Amarillo S Coulter LLC
Organization subpart
No
Enumeration date
Feb 15, 2019
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0002X Clinic/Center, Emergency Care––Yes

Practice location

5800 S Coulter St
Amarillo, TX 79119-6203

Phone 469-341-7800 · Fax 346-215-1007

Mailing address

5800 S Coulter St
Amarillo, TX 79119-6203

Phone 469-341-7800 · Fax 346-215-1007

Authorized official

Saeed S Mahboubi
Cfo
4693417800

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