San Angelo Neurosurgical Association

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

E7162 Issued in TX

Legal business name

SAN ANGELO NEUROSURGICAL ASSOCIATION

Practice address

211 E College Ave
San Angelo, TX 76903-5902

Phone

(325) 655-4164

Fax

(325) 657-0875

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Ann Williams

Title

Office Manager

Phone

(325) 655-4164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1790957405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E COLLEGE AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035902",
            "telephone_number": "325-655-4164",
            "fax_number": "325-657-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E COLLEGE AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035902",
            "telephone_number": "325-655-4164",
            "fax_number": "325-657-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO NEUROSURGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "325-655-4164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "E7162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010793001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Angelo Hospital LP
• San Angelo Hospital, LP
• San Angelo I Enterprises, LLC
• San Angelo II Enterprises, LLC
• San Angelo Independent School District
• San Angelo Pediatric Associates, P.a.
• San Angelo Psychiatric Association, PLLC
• San Angelo Radiation Oncology, P.a.
• San Angelo SCC, LLC
• San Angelo Security Service

• Neurological Surgery Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.