Organization
MEDICAL ALLIANCE GROUP OF TEXAS, LLC
Active
Other names
San Angelo Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ROBERT TOWNSEND CEO (MEMBER)
(325) 944-8916
Entity
Organization
Contact information
Practice address
2525 S JOHNSON STE A, SAN ANGELO, TX 76904
(325) 949-2612
(325) 944-7680
Mailing address
1513 DARLENE ST, SAN ANGELO, TX 76904
(325) 944-8916
(325) 944-8929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PENDING
TX
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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