Provider Demographics
NPI:1194043216
Name:AMARO, JUSTIN AARON (DO)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:AARON
Last Name:AMARO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1901 MEDI PARK DR
Mailing Address - Street 2:1048
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2110
Mailing Address - Country:US
Mailing Address - Phone:806-576-4999
Mailing Address - Fax:806-589-1062
Practice Address - Street 1:1901 MEDI PARK DR
Practice Address - Street 2:1048
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2110
Practice Address - Country:US
Practice Address - Phone:806-576-4999
Practice Address - Fax:806-589-1062
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2014-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP6322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine