VICTOR BRAVO MHT LLC (NPI# 1922415272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922415272 |
| Entity Type | Organization |
| Organization Name | VICTOR BRAVO MHT LLC |
| Practice Address |
1215 S Coulter St Suite 100 Amarillo TX 79106-1758 |
| Mailing Address |
1515 Heritage Drive Suite 110 Mckinney TX 75069-3379 |
| Practice Telephone | 9726164702 |
| Mailing Telephone | 9726164702 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | VICTOR BRAVO (OWNER) |
| Authorized Official Telephone | 8003594701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H2258 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1215 S COULTER ST SUITE 100 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547339 | Hernan E Miranda | Internal Medicine | 1215 S Coulter St, Suite 104, Amarillo, TX 79106-1758 | 2005-09-07 |
| 1699244020 | Kayla Leigh Money | Pharmacist | 1215 S Coulter St, Amarillo, TX 79106-1758 | 2018-11-14 |
| 1063863199 | Lindsey Jordan Larned | Nurse Practitioner | 1215 S Coulter St, Suite 301, Amarillo, TX 79106-1758 | 2016-06-30 |
| 1932573110 | Allegra Noel Kinzer | Nurse Practitioner | 1215 S Coulter St, Suite 202, Amarillo, TX 79106-1758 | 2015-11-25 |
| 1881070829 | Virgina Wright | Clinical Nurse Specialist | 1215 S Coulter St, Suite 302, Amarillo, TX 79106-1758 | 2015-07-31 |
| 1851708119 | Bart Britten Mht LLC | Family Medicine | 1215 S Coulter St, Suite 100, Amarillo, TX 79106-1758 | 2014-07-18 |
| 1831506195 | James D Bryan Mht LLC | Family Medicine | 1215 S Coulter St, Suite 100, Amarillo, TX 79106-1758 | 2014-07-18 |
| 1740697093 | David Tyson Mht LLC | Family Medicine | 1215 S Coulter St, Ste 100, Amarillo, TX 79106-1758 | 2014-07-18 |
| 1811303456 | David Brister Mht LLC | Family Medicine | 1215 S Coulter St, Suite 100, Amarillo, TX 79106-1758 | 2014-07-03 |
| 1720494362 | Jeffery Whelchel Mht LLC | Family Medicine | 1215 S Coulter St, Suite 100, Amarillo, TX 79106-1758 | 2014-07-03 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949200 | Joy Medical Clinic Pllc | Family Medicine | 4310 S Western St Unit E, Amarillo, TX 79109-6036 | 2019-02-20 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1629364435 | Sarah Christine Lozano | Family Medicine | 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 | 2011-06-21 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1932350550 | Preventative Healthcare Institute, LLC | Family Medicine | 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 | 2008-10-01 |
| 1750562450 | Drs. Stout & Cotton | Family Medicine | 2300 W 7th Ave, Amarillo, TX 79106-6623 | 2007-11-21 |
| 1861689572 | Cristiane Campos Ennis | Family Medicine | 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 | 2007-09-26 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| 1336360452 | Earl C. Hoffer | Family Medicine | Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-05-02 |
| Find all providers in AMARILLO | ||||
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| 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.