| Senior Clinic | |
|
3016 Vista Del Arroyo Dr San Angelo TX 76904-6146 | |
| (325) 949-9408 | |
| Not Available |
| Full Name | Senior Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3016 Vista Del Arroyo Dr, San Angelo, Texas |
| Authorized Official Name and Position | Bob Kavisic (OFFICE MANAGER) |
| Authorized Official Contact | 3259499408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Clinic Po Box 1879 San Angelo TX 76902-1879 Ph: (325) 949-9408 | Senior Clinic 3016 Vista Del Arroyo Dr San Angelo TX 76904-6146 Ph: (325) 949-9408 |
| NPI Number | 1821289539 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821289539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G5439 (Texas) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | H4593 (Texas) | Secondary |
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