SAN ANGELO PEDIATRIC ASSOCIATES P.A. NPI 1699855270

NPI Information

NPI: 1699855270
Provider Name: SAN ANGELO PEDIATRIC ASSOCIATES, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
314 E TWOHIG AVE
SAN ANGELO, TX
ZIP 76903
Phone: (325) 653-6944
Get Directions

SAN ANGELO PEDIATRIC ASSOCIATES, P.A. is an adolescent medicine pediatrics in San Angelo, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SAN ANGELO PEDIATRIC ASSOCIATES, P.A. NPI is 1699855270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

314 E TWOHIG AVE
SAN ANGELO, TX
ZIP 76903-502
Phone: (325) 653-6944
Fax: (325) 658-6500

The provider's authorized official is James Waldo Herbert .
The authorized official title is Owner and has the following contact phone number (325) 653-6944.

The enumeration date for this NPI number is 10/17/2006 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
1	2080A0000X	Pediatrics	Adolescent Medicine	D9492	TEXAS	Yes

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
1	00JT67	OTHER	TEXAS	BLUE CROSS ID

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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