Provider Demographics
NPI:1639599269
Name:AMARILLO HEART CENTER LLC
Entity Type:Organization
Organization Name:AMARILLO HEART CENTER LLC
Other - Org Name:AMARILLO HEART CENTER LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-358-4596
Mailing Address - Street 1:1901 PORT LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2430
Mailing Address - Country:US
Mailing Address - Phone:806-358-4596
Mailing Address - Fax:806-358-6726
Practice Address - Street 1:1901 PORT LN
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2430
Practice Address - Country:US
Practice Address - Phone:806-358-4714
Practice Address - Fax:806-468-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty