Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koley Chance Pack

Individual provider Family Medicine Physician · NPI 1255994836

Koley Chance Pack is a Family Practice in Amarillo, Texas. Qualified in 2019, 7 years ago. Practices with Moore County Hospital District, a 43-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

2001 S Coulter St
Amarillo, TX 79106-2521
Phone: (806) 318-5777
Fax: (806) 513-6926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T8007 (TX)

Record details

NPI number1255994836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESSeptember 8, 2022
Certification dateAugust 4, 2022
Mailing address2001 S Coulter St, Amarillo, TX 79106-2521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Moore County Hospital District — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Amarillo