Organization
ANGELO GENERAL & THORACIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID V SABORIO (DIRECTOR)
(325) 655-7969
Entity
Organization
Contact information
Practice address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4291
Mailing address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L9463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040LT
BC/BS OF TX GROUP#
TX
Enumeration date
08/18/2006
Last updated
10/23/2007
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