CONCHO SURGICAL PARTNERSHIP LTD NPI 1801825955

NPI Information

NPI: 1801825955
Provider Name: CONCHO SURGICAL PARTNERSHIP, LTD

Doing Business As: SHANNON SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4482 SUNSET DR
SAN ANGELO, TX
ZIP 76901
Phone: (325) 486-5800
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CONCHO SURGICAL PARTNERSHIP, LTD is an ambulatory surgical clinic center in San Angelo, TX. CONCHO SURGICAL PARTNERSHIP, LTD NPI is 1801825955. The provider is registered as an organization entity type.
The provider Is Doing Business As Shannon Surgery Center.

The provider's business location address is:

4482 SUNSET DR
SAN ANGELO, TX
ZIP 76901-611
Phone: (325) 486-5800
Fax: (325) 486-5850

The provider's authorized official is Chuck Dawson .
The authorized official title is Executive Director and has the following contact phone number (325) 486-5801.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 11/21/2007.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	008290	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	ASC273	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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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