| Organization Name: | AMARILLO CRITICAL CARE SERVICES,P.A. |
| NPI Number: | 1568581668 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM GILL (PRESIDENT) |
| Mailing Address: | 26423 Burton Ave Crisfield |
| State: | MD US |
| Postal Code: | 218171248 |
| Phone Number: | 4109680937 |
| Fax Number: | 4109682240 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0015715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |