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LA ESPERANZA CLINIC INC NPI 1477553832


NPI Information

NPI: 1477553832
Provider Name: LA ESPERANZA CLINIC INC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 45D0885704

Address:
1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-5339
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LA ESPERANZA CLINIC INC is a geriatric medicine internal medicine in San Angelo, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. LA ESPERANZA CLINIC INC NPI is 1477553832. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903-510
Phone: (325) 658-5339
Fax: (325) 659-8534

The provider's authorized official is William M Campbell .
The authorized official title is Ceo and has the following contact phone number (325) 223-8129.

The CLIA number assigned to this NPI record is 45D0885704 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2005 and was last updated on 8/22/2020.


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
1207RG0300XInternal MedicineGeriatric MedicineK6917TEXASYes

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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