Provider Demographics
NPI:1225421357
Name:PANHANDLE EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:PANHANDLE EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAETZOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-350-7744
Mailing Address - Street 1:22 HELIUM RD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2365
Mailing Address - Country:US
Mailing Address - Phone:806-350-7744
Mailing Address - Fax:806-350-7776
Practice Address - Street 1:22 HELIUM RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2365
Practice Address - Country:US
Practice Address - Phone:866-488-4558
Practice Address - Fax:405-607-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care