San Angelo Ambulatory Surgery Center
Clinic/Center, Ambulatory Surgical in San Angelo, TX. Organization (NPI-2).
NPI number1295716264
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295716264
- Entity type
- Organization (NPI-2)
- Legal business name
- San Angelo Ambulatory Surgery Center
- Organization subpart
- No
- Enumeration date
- Nov 8, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 008075 | TX | Yes |
Practice location
3605 Executive DrSan Angelo, TX 76904-6884
Phone 325-223-0555 · Fax 325-223-0909
Mailing address
3605 Executive DrSan Angelo, TX 76904-6884
Phone 325-223-0555 · Fax 325-223-0909
Authorized official
Sean Allen Guetlein
Administrator
3252230555
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