Provider Demographics
NPI:1396313367
Name:PANHANDLE ANESTHESIA ASSOCIATES PLLC
Entity type:Organization
Organization Name:PANHANDLE ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DM
Authorized Official - Phone:832-696-2455
Mailing Address - Street 1:2607 WOLFLIN AVE # 277
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1825
Mailing Address - Country:US
Mailing Address - Phone:619-300-4448
Mailing Address - Fax:
Practice Address - Street 1:2607 WOLFLIN AVE # 277
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1825
Practice Address - Country:US
Practice Address - Phone:619-300-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty