West Loop Medical Clinic Inc | |
2531 Loop 306 San Angelo TX 76904-7629 | |
(325) 224-4980 | |
Not Available |
Full Name | West Loop Medical Clinic Inc |
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Speciality | Internal Medicine |
Location | 2531 Loop 306, San Angelo, Texas |
Authorized Official Name and Position | Stephen H Smith (PRESIDENT) |
Authorized Official Contact | 3252244980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Loop Medical Clinic Inc 2531 Loop 306 San Angelo TX 76904-7629 Ph: () - | West Loop Medical Clinic Inc 2531 Loop 306 San Angelo TX 76904-7629 Ph: (325) 224-4980 |
NPI Number | 1124147723 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124147723 | NPI | - | NPPES |
A002 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | J0271 (Texas) | Primary |
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