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TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION NPI 1013362169


NPI Information

NPI: 1013362169
Provider Name: TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION

Other Name: TEXAS PANHANDLE CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2002 HARDY ST
AMARILLO, TX
ZIP 79106
Phone: (806) 351-3200
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TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION is a rehabilitation and substance use disorder clinic center in Amarillo, TX. TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION NPI is 1013362169. The provider is registered as an organization entity type.
The provider Other Name Is Texas Panhandle Centers.

The provider's business location address is:

2002 HARDY ST
AMARILLO, TX
ZIP 79106-102
Phone: (806) 351-3200
Fax: (806) 351-3344

The provider's authorized official is Mellisa Talley .
The authorized official title is Executive Director and has the following contact phone number (806) 351-3206.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 9/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder3610-3946TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11134188139MEDICAIDTEXAS
2359864101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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