Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | Q3042 | TX |
N | 208000000X | Pediatrician | Q3042 | TX |
NPI | 1598033474 |
---|---|
Provider Name | Dr. Amber Machin |
First Address | Lubbock, TX 79408-5980 |
Second Address | Lubbock, TX 79415-3364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2011 |
Last Update Date | 28/06/2019 |