Palo Duro Nursing and Rehabilitation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

109559 Issued in TX

Legal business name

PALO DURO NURSING AND REHABILITATION

Practice address

1931 Medi Park Dr
Amarillo, TX 79106-2182

Phone

(806) 352-5600

Fax

(806) 352-6071

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David L Byers

Title

Manager

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558357327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062182",
            "telephone_number": "806-352-5600",
            "fax_number": "806-352-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO DURO NURSING AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "109559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Lizzett Palmer, LMSW
• Richard Lee Palmer, AUD CCCA FAAA ABA
• Shawn Wilcher Palmer, PTA
• Tawney Palmer, WHNP
• Palo Duro Anesthesia PLLC
• Palo Duro Pharmacy Operations LLC
• Paul P Pan, MD
• Panhandle Anesthesia Associates PLLC
• Panhandle Anesthesia Services LLP
• Panhandle Anesthesia Services, PLLC

• Assisted Living Facility in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.