Organization
CONCHO SURGICAL PARTNERSHIP, LTD
Active
Other names
Shannon Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK DAWSON (EXECUTIVE DIRECTOR)
(325) 486-5801
Entity
Organization
Contact information
Practice address
4482 SUNSET DR, SAN ANGELO, TX 76901-5611
(325) 486-5800
(325) 486-5850
Mailing address
4482 SUNSET DR, SAN ANGELO, TX 76901-5611
(325) 486-5800
(325) 486-5850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008290
TX
Other
Enumeration date
07/01/2006
Last updated
11/21/2007
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