Organization
BSA HOSPITAL LLC
Active
Organization
BSA HOSPITAL LLC
Active
Parent organization
BSA HEALTH SYSTEM OF AMARILLO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BSA HEALTH SYSTEM OF AMARILLO LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
(806) 212-8836
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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