Pampa Medical Development Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC

Doing business as

FAMILY CARE CLINIC OF PAMPA

Practice address

916 N Crest Rd
Pampa, TX 79065-2798

Phone

(806) 688-0243

Fax

(806) 688-0242

NPI assigned

Dec 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith N Black, DO

Title

President

Phone

(806) 688-0243

Specialties & licenses 1

Addresses

Other names 1

• FAMILY CARE CLINIC OF PAMPA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1225572217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N CREST RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652798",
            "telephone_number": "806-688-0243",
            "fax_number": "806-688-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N CREST RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652798",
            "telephone_number": "806-688-0243",
            "fax_number": "806-688-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-688-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE CLINIC OF PAMPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Pampa, TX
• Providers in Pampa, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.