AMARILLO STAT CARE PLLC NPI 1700320702

NPI Information

  • NPI: 1700320702
  • Provider Name: AMARILLO STAT CARE PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 45D2123824
  • Address: 6014 S WESTERN ST
    SUITE 400
    AMARILLO, TX
    ZIP 79110
  • Phone: (806) 553-2728

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NPI Details

AMARILLO STAT CARE PLLC is a family nurse practitioner in Amarillo, TX. AMARILLO STAT CARE PLLC NPI is 1700320702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6014 S WESTERN ST
SUITE 400
AMARILLO, TX
ZIP 79110-612
Phone: (806) 553-2728
Fax: (806) 553-2872

The provider's authorized official is Bryan Lee Williams .
The authorized official title is Business Manager and has the following contact phone number (806) 771-0033.

The CLIA number assigned to this NPI record is 45D2123824 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2016 and was last updated on 12/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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