CONCHO VALLEY REHAB, P.A. (NPI# 1720199037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720199037 |
| Entity Type | Organization |
| Organization Name | CONCHO VALLEY REHAB, P.A. |
| Other Organization Name | CONCHO VALLEY REHAB, P.A. |
| Practice Address |
2215 W Beauregard Ave San Angelo TX 76901-3701 |
| Practice Telephone | 3252248400 |
| Practice Fax Number | 3252248405 |
| Mailing Telephone | 3252248400 |
| Mailing Fax Number | 3252248405 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TONY ROY SMITH (CHIROPRACTOR) |
| Authorized Official Telephone | 3252248400 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 6606 | TX | Chiropractic Providers |
| X | 225100000X | Physical Therapist | 1167940 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Concho Valley Rehab, P.A. | Doing Business As Name - Organization |
| Street Address |
2215 W BEAUREGARD AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76901-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043962 | H-e-b, Lp | Clinical Medical Laboratory | 5502 Sherwood Way, San Angelo, TX 76901 | 2017-06-22 |
| 1275053225 | Sherri Nell Burk | Speech-Language Pathologist | 105 Westland, San Angelo, TX 76901 | 2017-06-21 |
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1982078176 | Trust In God Ministries | Case Manager/Care Coordinator | 2727 Freeland Avenue, San Angelo, TX 76901 | 2015-11-25 |
| 1962886234 | Jacquelyn Nila Bowen | Speech-Language Pathologist | 105 Westland Ave., San Angelo, TX 76901 | 2015-07-16 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1417192188 | Dea Health & Educational Services, Inc. | Home Health | 10764 Dennis Dr., San Angelo, TX 76901 | 2008-12-10 |
| 1699813618 | Jose Antonio Contreras Sr. | Counselor | 2307 West Harris, San Angelo, TX 76901 | 2007-02-02 |
| 1821134859 | Carol J Jeffers | Counselor | 2013 West Beauregard Ave, San Angelo, TX 76901 | 2007-01-29 |
| 1346324498 | Sheila King Stewart | Counselor | 1 North Milton, Suite 10, San Angelo, TX 76901 | 2006-10-25 |
| Find all providers in zip 76901 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542816 | Emily Smith | Chiropractor | 5114 Knickerbocker Rd, San Angelo, TX 76904-7714 | 2019-01-22 |
| 1164831517 | Cheryl Jeanine Humphrey | Chiropractor | 210 E 20th St, San Angelo, TX 76903-3025 | 2014-08-11 |
| 1376729731 | Two Storey Chiropractic Pa | Chiropractor | 2412 College Hills Blvd Ste 206, San Angelo, TX 76904-8425 | 2008-01-16 |
| 1477747806 | Lonestar Chiropractic Clinics Incorporated | Chiropractor | 4116 Sunset Dr, San Angelo, TX 76904-5614 | 2007-08-29 |
| 1811015670 | Jim W. Collier, Dcpa | Chiropractor | 4241 Southwest Blve Ste 106, San Angelo, TX 76904-5687 | 2007-03-27 |
| 1588728315 | Kelvin Keith Ward | Chiropractor | 2858 W Beauregard Ave, San Angelo, TX 76901-3607 | 2006-12-19 |
| 1629156161 | Jeffrey Gray Power | Chiropractor | 3419a Johnson Ave, San Angelo, TX 76904-5554 | 2006-11-01 |
| 1205921608 | Drew George Wallace | Chiropractor | 1801 West Avenue N, San Angelo, TX 76904 | 2006-10-03 |
| 1417067273 | Steven W Brooks | Chiropractor | 4116 Sunset Drive, Sunset Chiropractic, San Angelo, TX 76904 | 2006-08-30 |
| 1417063827 | Timothy Shaun Pittman | Chiropractor | 3467 Knickerbocker Rd, Suite B, San Angelo, TX 76904-6896 | 2006-08-21 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76901 |
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| 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.