# MEDICAL ALLIANCE GROUP OF TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Angelo Home Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568772036
- **Authorized official:** MR. DONALD ROBERT TOWNSEND CEO (MEMBER)
- **Authorized official phone:** (325) 944-8916

## Contact information

- **Practice address:** 2525 S JOHNSON STE A, SAN ANGELO, TX 76904
- **Practice address phone:** (325) 949-2612
- **Practice address fax:** (325) 944-7680
- **Mailing address:** 1513 DARLENE ST, SAN ANGELO, TX 76904
- **Mailing address phone:** (325) 944-8916
- **Mailing address fax:** (325) 944-8929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PENDING | TX | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010