Provider Demographics
NPI:1508956046
Name:STRINGFELLOW, GRACE LEA (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:LEA
Last Name:STRINGFELLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Street 2:SUITE 1048
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2110
Practice Address - Country:US
Practice Address - Phone:806-356-2275
Practice Address - Fax:806-356-2279
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4735208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000H40POtherBCBS
TX00H4OPMedicare ID - Type Unspecified
TX000000H40POtherBCBS