Organization
SAN ANGELO HEALTHCARE, INC
Active
Other names
Professional Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB GEORGE (PRESIDENT)
(325) 653-1077
Entity
Organization
Contact information
Practice address
4102 BUFFALO GAP RD STE J, ABILENE, TX 79605-7243
(325) 672-1585
(325) 672-1475
Mailing address
PO BOX 422, SAN ANGELO, TX 76902-0422
(325) 653-1077
(325) 658-7035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143518201, 143518202
—
TX
01
—
503791
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
05/01/2006
Last updated
03/14/2008
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