Provider Demographics
NPI:1053742361
Name:FMC CLINICS, P.A.
Entity type:Organization
Organization Name:FMC CLINICS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CORPORATE COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HURT
Authorized Official - Suffix:
Authorized Official - Credentials:CPMSM, CPCS
Authorized Official - Phone:806-355-8900
Mailing Address - Street 1:3552 S. SONCY
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-1111
Mailing Address - Country:US
Mailing Address - Phone:806-350-7722
Mailing Address - Fax:806-350-7733
Practice Address - Street 1:3552 S. SONCY
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-1111
Practice Address - Country:US
Practice Address - Phone:806-350-7722
Practice Address - Fax:806-350-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care