Organization
SAN ANGELO NEUROSURGICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN WILLIAMS (OFFICE MANAGER)
(325) 655-4164
Entity
Organization
Contact information
Practice address
211 E COLLEGE AVE, SAN ANGELO, TX 76903-5902
(325) 655-4164
(325) 657-0875
Mailing address
211 E COLLEGE AVE, SAN ANGELO, TX 76903-5902
(325) 655-4164
(325) 657-0875
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E7162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010793001
—
TX
Enumeration date
04/02/2008
Last updated
09/16/2010
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