Healthcare Provider Details

I. General information

NPI: 1508344615
Provider Name (Legal Business Name): PANHANDLE URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S COULTER ST STE 200
AMARILLO TX
79106-2513
US

IV. Provider business mailing address

2101 S COULTER ST STE 200
AMARILLO TX
79106-2513
US

V. Phone/Fax

Practice location:
  • Phone: 806-350-7744
  • Fax: 806-350-7776
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARI M HUNTLEY
Title or Position: PFS DIRECTOR
Credential:
Phone: 806-350-7744