AMY G PROFFER PA
Anesthesiologist Assistant at 9 Ave, Amarillo, TX

License number
Texas M0872
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: LONETTA INGRAM
Title: OFFICE MANAGER
Phone: (806) 351-1560
Address
Address
7100 SW 9Th Ave, Amarillo, TX 79106
National Provider ID: 1861626319
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMY G. PROFFER, PA

Amarillo, TX

Registration:
Mar 2, 2009
Addresses:
5021 Everett Ave, Amarillo, TX 79106 (Mailing)
12 Cloister Pkwy, Amarillo, TX 79121
State ID:
0801093296
Business type:
Professional Association
President, Director, Member:
Amy Proffer (President, Director, Member)
Agent:
Amy G Proffer,12 Clositer Pkwy, Amarillo, TX 79121 (Physical)
TIN:
32039008613

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