Organization
ANGELO CLINIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BOWEN (CHIEF OPERATION OFFICER)
(325) 481-2203
Entity
Organization
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
01/23/2007
Last updated
09/11/2025
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