GRAND MEDICAL CLINIC
Nursing at Hayden St, Amarillo, TX

License number
Texas K2883
Category
Osteopathic Medicine
Type
Family Medicine
License number
Texas 251159
Category
Nursing
Type
Family
Owner
Name: MS. SUSAN A BALTZ FAMILY NURSE PRACTIT
Title: FAMILY NURSE PRACTITIONER OWNER
Phone: (806) 374-1919
Address
Address
1416 S Hayden St, Amarillo, TX 79102
National Provider ID: 1265519623
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Grand Medical Clinic

1416 S Hayden St, Amarillo, TX 79102

Industry:
Medical Doctor's Office
Doing business as:
Grand Medical
Phone:
(806) 374-1919 (Phone)
General Medical Practices:
Susan Balt (Owner, Nurse Practitioner, Family Nurse Practit, Family Nurse Practitioner Owner),Yolanda Bustillos (Administrative Assistant),Susan A. Baltz (Family Nurse Practit , Family Nurse Practitioner Owner , Nurse Practitioner, Owner),...

GRAND MEDICAL CLINIC INC

PO Box 50794, Amarillo, TX 79159

Status:
Inactive
Doing business as:
Grand Medical Clinic, Inc
Registration:
Jan 19, 1995
State ID:
0134200600
Business type:
Domestic For-Profit Corporation
P, Director:
Sergio E. Muniz P, Director, inactive
Agent:
Sergio E Muniz M D,1103 S Grand St, Amarillo, TX 79104 (Physical)
TIN:
17525759415

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