Texas Tech UHSC Family Medicine – Family Medicine Physician, NPI 1013942150
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Texas Tech UHSC Family Medicine
1400 S COULTER ST
AMARILLO, TX 791061786
Phone: (806) 414-9562
Fax: (806) 356-4673
Type: Mailing
Wallace Boulevard, Amarillo, Potter County, Texas, 79120, United States of America
ATTN CREDENTIALING
AMARILLO, TX 791061708
Phone: (806) 414-9566
Fax: (806) 356-4673
Type: Mailing
1400, Coulter Street, Amarillo, Potter County, Texas, 79106, United States
AMARILLO, TX 791061786
Phone: (806) 414-9559
Fax: (806) 351-3765
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-20
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79106)
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