DAVID EGERTON


Address: 1400 S Coulter St, Amarillo, TX 79106-1786
Phone: 8063513777

DAVID EGERTON (NPI# 1013949197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013949197
Entity Type Individual
Full Name DAVID EGERTON
Credential PHD
Practice Address 1400 S Coulter St
Amarillo
TX 79106-1786
Mailing Address 1400 Wallace Blvd
Attn: Credentialing Dept.
Amarillo
TX 79106-1708
Practice Telephone 8063513777
Practice Fax Number 8063513765
Mailing Telephone 8063513777
Mailing Fax Number 8063513765
Enumeration Date 2006-07-07
Last Update Date 2013-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 24263 TX Behavioral Health & Social Service Providers
Y 103TF0000X Psychologist
Specialization: Family
24263 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100841260 A 05
NM 19708017 05
TX 038409102 05
TX 038409104 05

Office Location

Street Address 1400 S COULTER ST
City AMARILLO
State TX
Zip Code 79106-1786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980057 Jack D Waller Specialist 1400 S Coulter St, Amarillo, TX 79106-1786 2005-05-31
1992311385 Karlyn Hood Pharmacist 1400 S Coulter St, Amarillo, TX 79106-1786 2020-09-21
1083225866 Roa Ali Eliyan Bashtawi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-08-13
1063040020 Mohammed Adib Tanbir Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-27
1558998898 Joshua Anthony Sorenson Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-26
1740815943 Udhaya Aelety Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-08
1831720341 Nicole Moreno Pharmacist 1400 S Coulter St, Amarillo, TX 79106-1786 2020-02-03
1891347399 Baptist Saint Anthony Health System Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-07-15
1134771645 Daniyah Ali Elagi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-07-15
1861055782 Jankikeerthika Muthukaruppan Dharmarpandi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477173466 Pamela A Odima Psychologist 31315 Fm 2920 Rd Ste 3, Waller, TX 77484-8021 2020-04-20
1184679763 Sylvia A Soto Psychologist 411 W Concho Ave, San Angelo, TX 76903-6310 2006-05-23
1427306620 Medical Billing Resolutions Consultants Psychologist 6404 Brookfield Dr, Quinlan, TX 75474-4204 2012-08-17
1881924207 Anne V. Ellis Psychologist 8150 N Central Expy, Suite 625, Dallas, TX 75206-1815 2010-01-07
1003015777 Sighbenn Healing and Cultural Place Psychologist 26515 Oak Ridge Dr, The Woodlands, TX 77380-1966 2007-07-13
1710912746 Dr Sylvia Ana Soto, PC Psychologist 411 W Concho Ave, San Angelo, TX 76903-6310 2006-07-11

Competitor

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City AMARILLO
Zip Code 79106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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