Email received from : txcredentialing@amerigroup.com  Sub : Enrollment Query || Coastal Bend Urgent Care & George West Medical Clinic - Amerigroup   Please send us a letterhead with the following and include a w9:   **Legal name / DBA  **NPI#  **Taxonomy Code  **Service locations  **Billing location  **phone / Fax / office hours / age limits  **TPI / Medicare #  **CLIA #