Concho Valley Ob/gyn, Pa

NPI 1164819603 - Clinic/Center - 261QM2500X

NPI Details
NPI 1164819603
Enumeration Date 04/22/2015
Last Updated 09/29/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JENNIFER MICHELE JENNIFER
Position SOLE PROPRIETOR
Phone (325) 944-9999
Fax (325) 944-9996
Practice Location
3019 GREEN MEADOW DR
SAN ANGELO TX, 76904-6975, US
Phone (325) 944-9999
Fax (325) 944-9996
Business Location
3019 GREEN MEADOW DR
SAN ANGELO TX, 76904-6975, US
Phone (325) 944-9999
Fax (325) 944-9996
Toxanomy
Taxonomy Code 261QM2500X
License State Texas
License Number K7835
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According to our database, Concho Valley Ob/gyn, Pa NPI is 1164819603, taxonomy code is 261QM2500X and license number is K7835, license state is located at Texas. Concho Valley Ob/gyn, Pa physically located at 3019 Green Meadow Dr, San Angelo TX, 76904-6975. NPI Number 1033115704 has the healthcare provider type.

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1164819603 NPI number is provided on an as is basis without warranty of any kind. 1164819603 is maintained by the National Plan & Provider Enumeration System. The contents of Concho Valley Ob/gyn, Pa are for informational purposes only.