Organization
BSA PHYSICIANS GROUP INC
Active
Parent organization
BSA PHYSICIAN HOLDING COMPANY LLC
Other names
Baptist St. Anthony's Urgent Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BSA PHYSICIAN HOLDING COMPANY LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
4510 BELL ST, AMARILLO, TX 79109-5714
(806) 212-4835
(806) 212-0900
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Enumeration date
06/05/2013
Last updated
11/02/2017
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