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Organization
WEST TEXAS MEDICAL ASSOCIATES
Active
Organization
WEST TEXAS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY MCMAHON (ADMINISTRATOR)
(325) 949-9555
Entity
Organization
Contact information
Practice address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904
(325) 949-9555
Mailing address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 949-9555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F634
BLUE CROSS BLUE SHIELD
TX
05
—
135031603
—
TX
05
—
135031604
—
TX
05
—
135031606
—
TX
Enumeration date
01/09/2006
Last updated
12/05/2018
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