Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koley Chance Pack

Individual provider Family Medicine Physician · NPI 1255994836

Koley Chance Pack is a Family Practice in Amarillo, Texas. Qualified in 2019, 7 years ago. Practices with Moore County Hospital District, a 43-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

2001 S Coulter St
Amarillo, TX 79106-2521
Phone: (806) 318-5777
Fax: (806) 513-6926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T8007 (TX)

Record details

NPI number1255994836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESSeptember 8, 2022
Certification dateAugust 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Moore County Hospital District — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Amarillo