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Organization
WEST TEXAS MEDICAL ASSOCIATES
Active
Organization
WEST TEXAS MEDICAL ASSOCIATES
Active
Parent organization
WEST TEXAS MEDICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST TEXAS MEDICAL ASSOCIATES
Authorized official
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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135031601
—
TX
Enumeration date
07/03/2008
Last updated
12/05/2018
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