Provider Demographics
NPI:1508262726
Name:PALINDROME MEDICAL, PLLC
Entity Type:Organization
Organization Name:PALINDROME MEDICAL, PLLC
Other - Org Name:ITINERANT HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHUMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-775-2402
Mailing Address - Street 1:4447 N CENTRAL EXPY STE 110-423
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4245
Mailing Address - Country:US
Mailing Address - Phone:214-775-2402
Mailing Address - Fax:214-775-2403
Practice Address - Street 1:4447 N CENTRAL EXPY STE 110-423
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4245
Practice Address - Country:US
Practice Address - Phone:214-775-2402
Practice Address - Fax:214-775-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty