Taghreed N Maaytah
Adolescent Medicine
3501 S Soncy Rd Ste 102
Amarillo
, Texas 79119-6405
Taghreed N Maaytah
Adolescent Medicine
3501 S Soncy Rd Ste 102
Amarillo
, Texas 79119-6405
(806) 353-8321
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Taghreed N Maaytah
- 3501 S Soncy Rd Ste 102
- Amarillo, TX
- Zip : 79119-6405
- Fax : (806) 353-8321
- Phone : (806) 353-7900
Second Address
- Taghreed N Maaytah
- 3501 S Soncy Rd Ste 102
- Amarillo, TX
- Zip : 79119-6405
- Fax : (806) 353-8321
- Phone : (806) 353-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | J9184 | TX |
National Provider Identifier
| NPI | 1164589362 |
|---|---|
| Provider Name | Taghreed N Maaytah |
| First Address | Amarillo, TX 79119-6405 |
| Second Address | Amarillo, TX 79119-6405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 30/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110606402 | (05) | TX |
| 752736163 | TAX ID (01) | TX |
| G19818 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.