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Organization

WEST LOOP MEDICAL CLINIC INC

Active
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Organization

WEST LOOP MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN H SMITH MD (PRESIDENT)
(325) 224-4980
Entity
Organization

Contact information

Practice address
2531 LOOP 306, SAN ANGELO, TX 76904-7629
(325) 224-4980
Mailing address
2531 LOOP 306, SAN ANGELO, TX 76904-7629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J0271
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A002
TRICARE
TX
Enumeration date
03/28/2007
Last updated
10/24/2007
About Stedi
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