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CREEK STONE INTEGRATED MEDICAL PLLC
NPI 1487222683
General Practice in Amarillo, TX

Active since June 14, 2021CLIA 45D2232413 · Waiver
3501 SW 45TH AVE STE T, AMARILLO, TX 79109(806) 355-3000(806) 418-2305 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Creek Stone Integrated Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEK STONE INTEGRATED MEDICAL PLLC (NPI 1487222683) is a healthcare organization registered as a general practice in Amarillo, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Jeffery Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1487222683
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCREEK STONE INTEGRATED MEDICAL PLLC
Location Address3501 SW 45TH AVE STE TAmarillo, TX 79109-5676
Mailing Address3501 Sw 45th Ave Ste TAmarillo, TX 79109-5676 · (806) 355-3000 · Fax (806) 418-2305
Phone(806) 355-3000
Fax(806) 418-2305
Organization SubpartNo
Authorized OfficialJeffery WilliamsOwner · (806) 355-3000
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1487222683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3501 SW 45TH AVE STE T, Amarillo, TX 79109
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Other Identifiers 1

Other1871591909Individual Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2232413

Creek Stone Integrated Medical · Amarillo, TX
Active · expires Aug 11, 2027
CLIA Number45D2232413
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorMichael Flores
Laboratory Phone(806) 355-3000
Laboratory LocationCreek Stone Integrated Medical3501 SW 45th St., Ste. T, Amarillo, TX 79109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYRA DANAY EASTER DC
Chiropractor
3501 SW 45TH AVE STE T
AMARILLO, TX 79109
Randall County (806) 355-3000
TRISTEN HUSEMAN
Student in an Organized Health Care Education/Training Program
3501 SW 45TH AVE STE T
AMARILLO, TX 79109
Randall County (806) 355-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creek Stone Integrated Medical PLLC's NPI number?

The NPI number for Creek Stone Integrated Medical PLLC is 1487222683. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Creek Stone Integrated Medical PLLC located?

Creek Stone Integrated Medical PLLC is located at 3501 SW 45th Ave Ste T, Amarillo, TX 79109. The listed phone number is (806) 355-3000.

What is Creek Stone Integrated Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Creek Stone Integrated Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2232413) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Creek Stone Integrated Medical PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.