SAN ANGELO AMBULATORY SURGERY CENTER
Surgery Yellow Pages
San Angelo, Texas
Provider NPI: 1295716264
Organization Information:Organization Name: SAN ANGELO AMBULATORY SURGERY CENTER
Practice Location:
3605 EXECUTIVE DR SAN ANGELO, TX 76904 US
Tel: 325-223-0555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3605 EXECUTIVE DR SAN ANGELO, TX 76904 US
Tel: 325-223-0555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 008075 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS NON-NETWORK PROVIDER | HH0552A | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin