| West Texas Medical Associates | |
|
3605 Executive Dr San Angelo TX 76904 | |
| (325) 949-9555 | |
| Not Available |
| Full Name | West Texas Medical Associates |
|---|---|
| Speciality | Pediatrics |
| Location | 3605 Executive Dr, San Angelo, Texas |
| Authorized Official Name and Position | Tommy Mcmahon (ADMINISTRATOR) |
| Authorized Official Contact | 3259499555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Medical Associates 3605 Executive Dr San Angelo TX 76904-6884 Ph: (325) 949-9555 | West Texas Medical Associates 3605 Executive Dr San Angelo TX 76904 Ph: (325) 949-9555 |
| NPI Number | 1144485756 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144485756 | NPI | - | NPPES |
| 135031606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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