Provider Demographics
NPI:1760404875
Name:CINDY I. HUTSON, D.O., P.A.
Entity Type:Organization
Organization Name:CINDY I. HUTSON, D.O., P.A.
Other - Org Name:FAMILY MEDICINE CENTER - CINDY HUTSON DO PA
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-351-2000
Mailing Address - Street 1:2607 WOLFLIN AVE # 968
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1825
Mailing Address - Country:US
Mailing Address - Phone:806-351-2000
Mailing Address - Fax:806-351-2060
Practice Address - Street 1:2703 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3330
Practice Address - Country:US
Practice Address - Phone:806-351-2000
Practice Address - Fax:806-351-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D1048493OtherCLIA
TX0046NCOtherBCBS
TX178858001Medicaid
TX006867Medicare UPIN
TX00686ZMedicare PIN