San Angelo Class | |
17 S Chadbourne St Suite 200 San Angelo TX 76903-5862 | |
(325) 486-1344 | |
Not Available |
Full Name | San Angelo Class |
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Speciality | Community/behavioral Health |
Location | 17 S Chadbourne St, San Angelo, Texas |
Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
Authorized Official Contact | 5023942100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Angelo Class 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | San Angelo Class 17 S Chadbourne St Suite 200 San Angelo TX 76903-5862 Ph: (325) 486-1344 |
NPI Number | 1124466636 |
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Provider Enumeration Date | 06/06/2013 |
Last Update Date | 06/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124466636 | NPI | - | NPPES |
012013 | Other | TX | VENDOR NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Texas) | Primary |
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