Fyzical Therapy and Balance Center - San Angelo LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FYZICAL THERAPY AND BALANCE CENTER - SAN ANGELO LLC

Practice address

3415 Johnson Ave
San Angelo, TX 76904-5554

Phone

(325) 515-5117

NPI assigned

Oct 10, 2019

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Haun, HISNPI 1255512224

Title

Owner

Phone

(325) 949-8351

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary A Haun, AUDIOPROSTHOLOGIST

  • Hearing Instrument Specialist
  • San Angelo, TX
  • NPI 1255512224
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1538701685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 JOHNSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045554",
            "telephone_number": "325-515-5117",
            "fax_number": "325-944-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 JOHNSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045554",
            "telephone_number": "325-515-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL THERAPY AND BALANCE CENTER - SAN ANGELO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HAUN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-949-8351",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Kidney Care Concho Valley, LLC (Fresenius Kidney Care Red Arroyo)
• Clayton Edward Frost, OD
• Vivian Fuentes
• William Fuller, LMSW, ACP
• Sierra Halbrooks Fulton
• Wrennah L Gabbert, R.N,. C.PNP, F.N.P-C
• Melissa Renee Gabrielli, RN, FNP-BC
• Amanda Gafford, BCBA
• Aryanna Marie Galindo, DO
• Erick Galindo

• Multi-Specialty Clinic/Center in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.