Organization
CONCHO VALLEY HEMATOLOGY & ONCOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPATHY VENKATESAN (PHYSICIAN/OWNER)
(325) 655-7969
Entity
Organization
Contact information
Practice address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Mailing address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G2048
TX
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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