Provider Demographics
NPI:1437952074
Name:TEXAS CRYOGEN PLLC
Entity type:Organization
Organization Name:TEXAS CRYOGEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRILE
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-219-1120
Mailing Address - Street 1:5600 BELL ST STE 105
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6299
Mailing Address - Country:US
Mailing Address - Phone:575-219-1120
Mailing Address - Fax:
Practice Address - Street 1:4389 CANYON DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-1901
Practice Address - Country:US
Practice Address - Phone:575-219-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No253Z00000XAgenciesIn Home Supportive Care