Provider Demographics
NPI:1629152459
Name:VIP FAMILY MEDICINE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:VIP FAMILY MEDICINE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-359-9000
Mailing Address - Street 1:1200 WALLACE BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1741
Mailing Address - Country:US
Mailing Address - Phone:806-359-9000
Mailing Address - Fax:806-350-7905
Practice Address - Street 1:1200 WALLACE BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1741
Practice Address - Country:US
Practice Address - Phone:806-359-9000
Practice Address - Fax:806-350-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty