Grand Medical Clinic
Grand Medical Clinic provides Family Medicine Physician services in Amarillo, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1416 S Hayden StAmarillo, TX 79102-1635 Not confirmed with CMS for 16 years — call before visiting
Phone: (806) 374-1919
Fax: (806) 379-9213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 251159 (TX) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence K2883 (TX) |
Record details
| NPI number | 1265519623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Baltz — Family Nurse Practitioner Owner · (806) 374-1919 |
| Other names | Susan Baltz |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | November 20, 2009 |
| Mailing address | 1416 S Hayden St, Amarillo, TX 79102-1635 |
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Susan Goetz, MD
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Dr. James D Hale, MD
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Debra Lyn Hammond, MD
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