Active NPI
West Texas Renal Care Center Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Angelo, TX
National Provider Identifier
1609860485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 006902
- Legal business name
- WEST TEXAS RENAL CARE CENTER INC
- Practice address
- 3501 Executive Dr
San Angelo, TX 76904-6883 - Phone
- (325) 949-5081
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve F Montoya Jr., M.D.
- Title
- Ceo
- Phone
- (325) 653-6773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 006902 | TX | Primary |
Addresses
Primary practice location
3501 Executive Dr
San Angelo, TX 76904-6883
Mailing address
136 E Concho Ave
San Angelo, TX 76903-5947
Phone (325) 653-6773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094270801 | Medicaid | TX | |
| HH6151 | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
136 E Concho Ave
San Angelo, TX 76903
Phone (325) 653-6773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- San Angelo, TX
- NPI 1699770313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1609860485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E CONCHO AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035947",
"telephone_number": "325-653-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 EXECUTIVE DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046883",
"telephone_number": "325-949-5081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS RENAL CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "325-653-6773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "006902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094270801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH6151",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.