Wyatt Clinic, P.A.

LBN: Wyatt Clinic, P.A.
Wyatt Clinic, P.A. is an health care organization with primary practice located at 1411 E Amarillo Blvd , Amarillo TX 79107-5555. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wyatt Clinic, P.A. can be contacted via phone (806) 351-7200, or through Hurt, Carolyn Sue via phone (806) 355-8900.

Contact Information

Primary practice address
1411 E Amarillo Blvd Amarillo TX 79107-5555
Phone: (806) 351-7200
Fax: (806) 351-7274
Website:
Map and Directions
Authorized official contact:
Name: Hurt, Carolyn Sue
Phone: (806) 355-8900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1639280431
LBN Legal business name Wyatt Clinic, P.A.
DBA Doing business as
Authorized official Hurt, Carolyn Sue
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 30th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639280431 NPPES
Texas MEDICAID 168039901

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