Provider Demographics
NPI:1477908408
Name:PANHANDLE ANESTHESIA SERVICES, PLLC
Entity Type:Organization
Organization Name:PANHANDLE ANESTHESIA SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TREHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-877-2762
Mailing Address - Street 1:6833 PLUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1602
Mailing Address - Country:US
Mailing Address - Phone:806-467-9820
Mailing Address - Fax:806-467-9743
Practice Address - Street 1:6833 PLUM CREEK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1602
Practice Address - Country:US
Practice Address - Phone:806-467-9820
Practice Address - Fax:806-467-9743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty