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NPI 1063940476 · Clinic/Center · Amarillo, TX
Provider details
- NPI number
- 1063940476
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Russell, Owner(806) 662-7773
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2102 Se 41st Ave
Amarillo, TX 79118-7773
Phone: (806) 662-7652
Fax: (806) 329-2308
Street-level locationGet directions
Mailing address
2102 Se 41st Ave
Amarillo, TX 79118-7773
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.