Panhandle Pediatric Group P A

NPI 1003825852 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003825852
Enumeration Date 08/07/2006
Last Updated 03/14/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUDY JUDY
Position ADMINISTRATOR
Phone (806) 354-0404
Fax (806) 354-2810
Practice Location
1500 S COULTER ST STE 1
AMARILLO TX, 79106-1787, US
Phone (806) 354-0404
Fax (806) 354-2810
Business Location
1500 S COULTER ST STE 1
AMARILLO TX, 79106-1787, US
Phone (806) 354-0404
Fax (806) 354-2810
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1003825852 NPI Number
 

According to our database, Panhandle Pediatric Group P A NPI is 1003825852, taxonomy code is 363L00000X Panhandle Pediatric Group P A physically located at 1500 S Coulter St Ste 1, Amarillo TX, 79106-1787. NPI Number 1033115704 has the healthcare provider type.

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1003825852 NPI number is provided on an as is basis without warranty of any kind. 1003825852 is maintained by the National Plan & Provider Enumeration System. The contents of Panhandle Pediatric Group P A are for informational purposes only.