CONCHO PHYSICIAN ASSISTANT PLACEMENT SERVICES NPI 1649568411

NPI Information

  • NPI: 1649568411
  • Provider Name: CONCHO PHYSICIAN ASSISTANT PLACEMENT SERVICES
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 1633 PARKVIEW DR
    SAN ANGELO, TX
    ZIP 76904
  • Phone: (325) 226-3503

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NPI Details

CONCHO PHYSICIAN ASSISTANT PLACEMENT SERVICES is a surgical physician assistant in San Angelo, TX. CONCHO PHYSICIAN ASSISTANT PLACEMENT SERVICES NPI is 1649568411. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1633 PARKVIEW DR
SAN ANGELO, TX
ZIP 76904-848
Phone: (325) 226-3503

The provider's authorized official is Bethany Wood .
The authorized official title is Manager and has the following contact phone number (325) 226-3503.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/14/2011.

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
1363AS0400XPhysician AssistantSurgicalPA05955TEXASYes

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
18L9846MEDICARE PIN

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: 11/21/2025

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