Individual
DAVID ALLEN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76902-7200
(325) 658-1511
Mailing address
PO BOX 22000, 120 E BEAUREGARD AVE, SAN ANGELO, TX 76902-7200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P1027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DD629
BCBS
TX
Enumeration date
07/01/2008
Last updated
06/14/2012
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