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Contact Information

ANGELO ENDODONTICS PA
3131 GREEN MEADOW DRIVE
SAN ANGELO, TX76904
 Phone: 325-947-3636
 Fax: 325-942-7594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ANGELO ENDODONTICS PA

NPI # 1144331299
LBN Legal business name ANGELO ENDODONTICS PA
Authorized official W RANDY SNYDER - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 17165
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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