| NPI | 1003825852 |
|---|---|
| Former Legal Business Name | PANHANDLE PEDIATRIC GROUP P A |
| Entity Type | Organization |
| Authorized Contact | STEFANIE FEEMSTER Credentialing Specialist 806-358-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-12-19 |