Unknown Individual – Dermatology Physician, NPI 1710980057
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wallace Boulevard, Amarillo, Potter County, Texas, 79120, United States
ATTN: CREDENTIALING DEPT.
AMARILLO, TX 791061708
Phone: (806) 354-5585
Fax: (806) 356-4673
Type: Mailing
Coulter Street, Amarillo, Potter County, Texas, 79120, United States
AMARILLO, TX 791061786
Phone: (806) 354-5660
Fax: (806) 354-5717
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 70 | 53 |
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