| Romeo B Sangalang Mdpa | |
|
1000 S Main St Shamrock TX 79079-2820 | |
| (806) 256-1242 | |
| Not Available |
| Full Name | Romeo B Sangalang Mdpa |
|---|---|
| Speciality | Surgery |
| Location | 1000 S Main St, Shamrock, Texas |
| Authorized Official Name and Position | Romeo B Sangalang (PRESIDENT) |
| Authorized Official Contact | 8062561242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Romeo B Sangalang Mdpa Po Box 8337 Amarillo TX 79114-8337 Ph: (806) 355-6593 | Romeo B Sangalang Mdpa 1000 S Main St Shamrock TX 79079-2820 Ph: (806) 256-1242 |
| NPI Number | 1942236062 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942236062 | NPI | - | NPPES |
| 00GX27 | Medicaid | TX | |
| 00GX27 | Other | BLUE CROSS | |
| P00181897 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G4703 (Texas) | Primary |
| 208600000X | Surgery | G4703 (Texas) | Primary |
Shamrock General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Main St, Shamrock, TX 79079 Phone: 806-256-2114 Fax: 806-256-2423 |