SearchTexas101Y00000X

Shawnee Key

NPI 1699635359 · on the registry since 2025 · sole proprietor

Practice

Address
3705 Fountain Ter
Amarillo, TX 79106
Phone
(806) 674-0775

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-14

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