SAN ANGELO ER LLC NPI 1407392566

NPI Information

NPI: 1407392566
Provider Name: SAN ANGELO ER LLC

Doing Business As: CONCHO VALLEY ER

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
5709 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76904
Phone: (713) 660-0557
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SAN ANGELO ER LLC is an emergency care clinic center in San Angelo, TX. SAN ANGELO ER LLC NPI is 1407392566. The provider is registered as an organization entity type.
The provider Is Doing Business As Concho Valley Er.

The provider's business location address is:

5709 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76904
Phone: (713) 660-0557

The provider's authorized official is John George Speck .
The authorized official title is Operations Manager and has the following contact phone number (409) 392-3511.

The enumeration date for this NPI number is 1/13/2017 and was last updated on 3/13/2019.

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
1	261QE0002X	Clinic/Center	Emergency Care			Yes

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

NPI Synchronization or Removal

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