OrganizationActive
Advanced Skin Treatment Center
NPI 1205939436 · Medical Specialty Clinic/Center · Amarillo, TX
Provider details
- NPI number
- 1205939436
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elaine Cook, President(806) 358-1117
- License
- J5732 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2609 Wolflin Vlg
Amarillo, TX 79109-1838
Phone: (806) 358-1117
Approximate (ZIP-level) locationGet directions
Mailing address
2609 Wolflin Vlg
Amarillo, TX 79109-1838
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.