Unknown Individual – Otolaryngology Physician, NPI 1043289614
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Knickerbocker Road, San Angelo, Tom Green County, Texas, 76904, United States
SAN ANGELO, TX 769047610
Phone: (325) 949-9555
Type: Mailing
Executive Drive, San Angelo, Tom Green County, Texas, 76909, United States
SAN ANGELO, TX 769046884
Phone: (325) 224-5226
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76904)
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