PANHANDLE GASTROENTEROLOGY, PA
Osteopathic Medicine at Quail Creek Dr, Amarillo, TX

License number
Texas M4993
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. KULDIP S BANWAIT MD
Title: CEO
Phone: (806) 354-9400
Address
Address
800 Quail Creek Dr SUITE 101, Amarillo, TX 79124
National Provider ID: 1437336211
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PANHANDLE GASTROENTEROLOGY, PA

800 Quail Crk Dr STE 103, Amarillo, TX 79124

Registration:
Jan 2, 2008
State ID:
0800918211
Agent:
Kuldip S. Banwait,800 Quail Crk Dr SUITE 101, Amarillo, TX 79124 (Physical)
TIN:
32034932361

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