Johnnie Wayne Faircloth in Amarillo - Pediatrics

Johnnie Wayne Faircloth - NPI 1912168600

Johnnie Wayne Faircloth is a Pediatrics in Amarillo, Texas. Johnnie Wayne Faircloth practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Johnnie Wayne Faircloth is 1912168600. The last update date is 2016-07-18.

Johnnie Wayne Faircloth's current location address is 1400 Wallace Blvd, Amarillo, Texas. You can contact this provider via phone number 8064149800 and fax number 8063545689. The mailing address for Johnnie Wayne Faircloth is 1400 Wallace Blvd, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnnie Wayne Faircloth
Address 1400 Wallace Blvd, Amarillo, Texas
Phone Number 8064149800
Fax Number 8063545689
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912168600
Provider Enumeration Date 2008-06-24
Last Updated Date 2016-07-18

Provider Mailing Address Detail

Address 1400 Wallace Blvd
City Amarillo
State Texas (TX)
Post Code 791061708
Phone Number 8064149800
Fax Number 8063545689

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No N7537
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
280457704 TX --
280457702 TX --
200340500 A OK --
67474560 NM --

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FAQs about Johnnie Wayne Faircloth

What is the Johnnie Wayne Faircloth's 1912168600?

The Johnnie Wayne Faircloth's NPI (National Provider Identifier) Number is 1912168600. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Johnnie Wayne Faircloth?

The Johnnie Wayne Faircloth is physically situated at 1400 Wallace Blvd, in the city of Amarillo, state of TX, with the postal code 791061708.

What is the Johnnie Wayne Faircloth's specialty and taxonomy code?

The Johnnie Wayne Faircloth's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Johnnie Wayne Faircloth receive the assignment of its 1912168600 from the Centers for Medicare & Medicaid Services?

The Johnnie Wayne Faircloth was issued its 1912168600 by the Centers for Medicare & Medicaid Services on 2008-06-24.

When was the information regarding Johnnie Wayne Faircloth most recently updated?

The details pertaining to the Johnnie Wayne Faircloth, including its address, specialty, and other relevant information, were last refreshed on 2016-07-18.

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