SOUTHWEST ANTI-AGING CENTER
Osteopathic Medicine at Coulter St, Amarillo, TX

License number
Texas P8871
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. KATHLEEN ANNE CLARK M.D.
Title: OWNER
Phone: (806) 350-7311
Address
Address
1215 S Coulter St SUITE 200, Amarillo, TX 79106
National Provider ID: 1083085385
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHWEST ANTI-AGING CENTER at bizstanding.com

SOUTHWEST ANTI-AGING CENTER, PLLC

3200 S Ong St, Amarillo, TX 79109

Registration:
Apr 23, 2014
State ID:
0801977230
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Kathleen A. Clark (Manager)
Agent:
Kathleen A Clark Md,3200 S Ong St, Amarillo, TX 79109 (Physical)
TIN:
32053859651

Southwest Anti-Aging Center

1215 S Coulter St, Amarillo, TX 79106

Status:
Inactive
Industry:
Nonclassifiable Establishments
Kathleen A. Clark, M.d., Pa inactive

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