Provider Demographics
NPI:1659245272
Name:TLC PEDIATRICS OF AMARILLO
Entity type:Organization
Organization Name:TLC PEDIATRICS OF AMARILLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAGHREED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAAYTAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-353-7900
Mailing Address - Street 1:3501 S SONCY RD
Mailing Address - Street 2:STE #102
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119
Mailing Address - Country:US
Mailing Address - Phone:806-353-7900
Mailing Address - Fax:806-353-8321
Practice Address - Street 1:3501 S SONCY RD
Practice Address - Street 2:STE #102
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119
Practice Address - Country:US
Practice Address - Phone:806-353-7900
Practice Address - Fax:806-353-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty