Patrick Jonathan Proffer in Amarillo - Plastic And Reconstructive Surgery
Patrick Jonathan Proffer - NPI 1952399206
Patrick Jonathan Proffer is a Plastic And Reconstructive Surgery in Amarillo, Texas. Patrick Jonathan Proffer practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Patrick Jonathan Proffer is 1952399206. The last update date is 2014-02-20.
Patrick Jonathan Proffer's current location address is 1611 Wallace Blvd, Amarillo, Texas. You can contact this provider via phone number 8063521185 and fax number 8063524987. The mailing address for Patrick Jonathan Proffer is 1611 Wallace Blvd, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick Jonathan Proffer |
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Address | 1611 Wallace Blvd, Amarillo, Texas |
Phone Number | 8063521185 |
Fax Number | 8063524987 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1952399206 |
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Provider Enumeration Date | 2005-10-11 |
Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
Address | 1611 Wallace Blvd |
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City | Amarillo |
State | Texas (TX) |
Post Code | 791061799 |
Phone Number | 8063521185 |
Fax Number | 8063524987 |
Provider's Primary Taxonomy Detail
Speciality | Plastic And Reconstructive Surgery |
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Taxonomy | 2086S0122X |
Licence No | M0532 |
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
174819602 | TX | -- | |
P00418009 | TX | PALMETTO GBS/RAILROAD MEDICARE |
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What is the Patrick Jonathan Proffer's 1952399206?
The Patrick Jonathan Proffer's NPI (National Provider Identifier) Number is 1952399206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patrick Jonathan Proffer located?
The Patrick Jonathan Proffer is located at 1611 Wallace Blvd, Amarillo, TX 791061799.
What is Patrick Jonathan Proffer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrick Jonathan Proffer's specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.
When did the Patrick Jonathan Proffer receive its 1952399206?
The Patrick Jonathan Proffer was issued its 1952399206 on 2005-10-11, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Patrick Jonathan Proffer most recently updated or revised?
The details related to Patrick Jonathan Proffer, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-20.
NPI Number: 1336142389
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