CONCHO VALLEY EMERGENCY PHYSICIANS PLLC NPI 1972062545

NPI Details

CONCHO VALLEY EMERGENCY PHYSICIANS PLLC is an emergency medicine in San Angelo, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CONCHO VALLEY EMERGENCY PHYSICIANS PLLC NPI is 1972062545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5709 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901-643
Phone: (325) 703-6900
Fax: (325) 703-6910

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 CLIA number assigned to this NPI record is 45D2124349 - other - freestanding er with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/13/2019 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: