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Koley Pack
NPI 1255994836 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2001 S Coulter St
Amarillo, TX 79106 - Phone
- (806) 318-5777
- Fax
- (806) 513-6926
- Organisation at this address
- Number One Care Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas