LISA K. LONGHOFER MD PLLC
Radiology at Coulter St, Amarillo, TX

License number
Texas P6861
Category
Medical Practice
Type
Orthopaedic Surgery
License number
Texas P6861
Category
Radiology
Type
Surgery of the Hand
Owner
Name: DR. LISA K LONGHOFER MD
Title: OWNER
Phone: (806) 358-0600
Address
Address
1600 S Coulter St STE B, Amarillo, TX 79106
National Provider ID: 1437688520
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA K. LONGHOFER, MD, PLLC

1100 S Coulter St, Amarillo, TX 79106

Registration:
Jan 7, 2015
State ID:
0802131328
Agent:
Lisa K Longhofer,1100 S Coulter St, Amarillo, TX 79106 (Physical)
TIN:
32056055752

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