| Organization Name: | AMARILLO MEDICAL GROUP LLC |
| NPI Number: | 1952573461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS SAMES (PRESIDENT) |
| Mailing Address: | 5211 W. 9th Ave Suite 140 Amarillo |
| State: | TX US |
| Postal Code: | 791064149 |
| Phone Number: | 8066222725 |
| Fax Number: | 8063524887 |
| NPI Enumeration Date: | 03/25/2008 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |