Organization Active NPI

Angelo General & Thoracic Surgery

  • Surgery Physician
  • San Angelo, TX
National Provider Identifier
1851405559
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L9463 Issued in TX
Legal business name
ANGELO GENERAL & THORACIC SURGERY
Practice address
2142 Sunset Dr
San Angelo, TX 76904-6829
Phone
(325) 245-4291
NPI assigned
Aug 18, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
David V Saborio
Title
Director
Phone
(325) 655-7969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L9463 TX Primary

Addresses

Primary practice location

2142 Sunset Dr
San Angelo, TX 76904-6829

Mailing address

223 S Abe St
San Angelo, TX 76903-6305
Phone (325) 655-7969

Other identifiers 1

IdentifierTypeStateIssuer
0040LTOtherTXBC/BS OF TX GROUP#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1851405559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S ABE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036305",
            "telephone_number": "325-655-7969",
            "fax_number": "325-655-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046829",
            "telephone_number": "325-245-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO GENERAL & THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SABORIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-655-7969"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TX GROUP#",
            "identifier": "0040LT",
            "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 Oct 23, 2007; 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.