Provider Demographics
NPI:1326267626
Name:PANHANDLE PHYSICAL MEDICINE AND REHABILITATION, P.A.
Entity Type:Organization
Organization Name:PANHANDLE PHYSICAL MEDICINE AND REHABILITATION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRINGFELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-356-2275
Mailing Address - Street 1:PO BOX 7386
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79114-7386
Mailing Address - Country:US
Mailing Address - Phone:806-356-2275
Mailing Address - Fax:806-356-2279
Practice Address - Street 1:1901 MEDI PARK DR STE 1048
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2108
Practice Address - Country:US
Practice Address - Phone:806-356-2275
Practice Address - Fax:806-356-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4735208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty