Provider Demographics
NPI:1376598771
Name:CARDIOLOGY CENTER OF AMARILLO
Entity Type:Organization
Organization Name:CARDIOLOGY CENTER OF AMARILLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-354-9764
Mailing Address - Street 1:6200 I-40 W
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2512
Mailing Address - Country:US
Mailing Address - Phone:806-354-9764
Mailing Address - Fax:806-355-2728
Practice Address - Street 1:6200 W I 40
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2512
Practice Address - Country:US
Practice Address - Phone:806-354-9764
Practice Address - Fax:806-355-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163733201Medicaid
TX163733201Medicaid