Proffer, Liana H

Proffer, Liana H is an individual health care provider with primary practice located at 1611 Wallace Blvd , Amarillo TX 79106-1799. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Proffer, Liana H can be contacted via phone (806) 354-4900.

Contact Information

Primary practice address
1611 Wallace Blvd Amarillo TX 79106-1799
Phone: (806) 354-4900
Fax: (806) 352-4987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X K6910 Texas

Profile Details

NPI number 1891770046
LBN Legal business name Proffer, Liana H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 10th, 2014 - about 12 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 1891770046 NPPES
Texas Other 8V1240 BLUE CROSS BLUE SHIELD
Texas MEDICAID 187150101 BLUE CROSS BLUE SHIELD

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