Griffin, Amanda Diane

Griffin, Amanda Diane is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Griffin, Amanda Diane can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N9560 Texas

Profile Details

NPI number 1124280680
LBN Legal business name Griffin, Amanda Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated May 3rd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124280680 NPPES
New Mexico MEDICAID 78286051
New Mexico MEDICAID 280022902
New Mexico MEDICAID 280022904
New Mexico MEDICAID 280022903
New Mexico MEDICAID 200339720 A
New Mexico MEDICAID 280022901

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