Mclemore, Phyllis

Mclemore, Phyllis is an individual health care provider with primary practice located at 1901 Medi Park Ste 2051, Amarillo TX 79106-2169. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mclemore, Phyllis can be contacted via phone (806) 468-4600.

Contact Information

Primary practice address
1901 Medi Park Ste 2051 Amarillo TX 79106-2169
Phone: (806) 468-4600
Fax: (806) 468-4398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 517550 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 517550 Texas

Profile Details

NPI number 1790940633
LBN Legal business name Mclemore, Phyllis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Mar 9th, 2012 - about 13 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 1790940633 NPPES
Texas MEDICAID 042483005
Texas MEDICAID 200322680 A
Texas MEDICAID 042483006
Texas MEDICAID 05572568

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