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Contact Information

STANLEY C PAETZOLD, MD
2101 S COULTER ST
AMARILLO, TX79106
 Phone: 806-350-7744
 Fax: 806-350-7776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STANLEY C PAETZOLD · (Male)

NPI Number 1326129206
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-46442
  • TX License # K3375
  • NM Medicaid 02320045
  • OK Medicaid 200033590A
  • TX Medicaid 110700503
  • Other 14148503 CAQH
  • KS Other 04-46442 STATE MEDICAL LICENSE
  • TX Other 82940G BLUE CROSS & BLUE SHIELD
Hospital affiliation(s)
  • NORTHWEST TEXAS HOSPITAL - (Acute Care)
    1501 COULTER ROAD
    AMARILLO, TX 79106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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