Provider Demographics
NPI:1063500379
Name:AMARILLO PAIN ASSOCIATES
Entity Type:Organization
Organization Name:AMARILLO PAIN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-353-4699
Mailing Address - Street 1:1901 MEDI PARK DR
Mailing Address - Street 2:SUITE 2002
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2110
Mailing Address - Country:US
Mailing Address - Phone:806-353-4699
Mailing Address - Fax:806-353-4551
Practice Address - Street 1:1901 MEDI PARK DR
Practice Address - Street 2:SUITE 2002
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2110
Practice Address - Country:US
Practice Address - Phone:806-353-4699
Practice Address - Fax:806-353-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty