Organization
EDUCATION SERVICE CENTER REGION XV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MOELLER (ADMINISTRATIVE ASSISTANT)
(325) 658-6571
Entity
Organization
Contact information
Practice address
612 S IRENE ST, SAN ANGELO, TX 76903-6629
(325) 658-6571
(325) 653-0036
Mailing address
PO BOX 5199, SAN ANGELO, TX 76902-5199
(325) 658-6571
(325) 653-0036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174400000X
Specialist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/04/2007
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up