WEST TEXAS MEDICAL ASSOCIATES (NPI# 1114133634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114133634 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS MEDICAL ASSOCIATES |
| Practice Address |
3605 Executive Dr San Angelo TX 76904 |
| Mailing Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Practice Telephone | 3259499555 |
| Mailing Telephone | 3259499555 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | TOMMY MCMAHON (ADMINISTRATOR) |
| Authorized Official Telephone | 3259499555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135031605 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3555 Knickerbocker Rd, San Angelo, TX 769047610 | 3259499555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| 1750544367 | West Texas Medical Associates | Nurse Anesthetist, Certified Registered | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-03 |
| 1457339525 | West Texas Medical Associates | Internal Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2006-01-09 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497115794 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 3440 S Bryant Blvd, San Angelo, TX 76903-9308 | 2016-02-29 |
| 1255791562 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5154 Knickerbocker Rd, San Angelo, TX 76904-7714 | 2016-02-29 |
| 1609125111 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2828 N Bryant Blvd, San Angelo, TX 76903-2865 | 2012-08-30 |
| 1033490578 | Medhab | Durable Medical Equipment & Medical Supplies | 2009 W Beauregard Ave, San Angelo, TX 76901-3812 | 2011-08-29 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1487783312 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 1724 Sunset Dr, San Angelo, TX 76904-7104 | 2007-03-05 |
| 1043369036 | Johnnie Lee Nora Comstock | Durable Medical Equipment & Medical Supplies | 313 Burlington Rd, San Angelo, TX 76901-5208 | 2007-01-09 |
| 1780765321 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 506 S Irving St, San Angelo, TX 76903-6943 | 2006-10-18 |
| 1023021334 | Medway Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3302 Loop 306, San Angelo, TX 76904 | 2006-08-15 |
| 1891703856 | Brenda Sue Wimpee | Durable Medical Equipment & Medical Supplies | 2525 S Johnson, Suite A, San Angelo, TX 76904 | 2006-08-04 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on WEST TEXAS MEDICAL ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.