WEST TEXAS NEPHROLOGY ASSOCIATES (NPI# 1376548008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376548008 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS NEPHROLOGY ASSOCIATES |
| Practice Address |
136 E Concho Ave San Angelo TX 76903-5947 |
| Mailing Address |
Po Box 5780 San Angelo TX 76902-5780 |
| Practice Telephone | 3256536773 |
| Practice Fax Number | 3256533849 |
| Mailing Telephone | 3256536773 |
| Mailing Fax Number | 3256533849 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. STEVE F MONTOYA JR. (CEO) |
| Authorized Official Telephone | 3256536773 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
00KL07 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | CP4155 | 01 |
| TX | 112858904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922280882 | West Texas Nephrology Associates | Internal Medicine | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2007-12-03 |
| Street Address |
136 E CONCHO AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661602 | Lynsie Provost | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-08-26 |
| 1952937161 | Leila Najarian | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-03-19 |
| 1629608963 | Tyler Adam Jowers | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-01-24 |
| 1275192270 | San Angelo Autism Center, Pllc | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2019-06-12 |
| 1407328255 | Hanna M Cain | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2018-12-18 |
| 1679085914 | Isabel Vela | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2017-10-26 |
| 1093776379 | Pd Suppliers of Texas | Durable Medical Equipment & Medical Supplies | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2006-03-28 |
| 1699770313 | Steve Frank Montoya Jr. | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447494562 | Angelo Nephrology Associated | Internal Medicine | 18 W College Ave, San Angelo, TX 76903-5814 | 2009-04-21 |
| 1194960708 | Adc Inc | Internal Medicine | 7573 El Camino Grande, San Angelo, TX 76904-4720 | 2008-12-10 |
| 1588646392 | Shannon Joint Ventures, Inc | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2005-11-17 |
| 1205820966 | John A Stevenson | Internal Medicine | 210 E Harris Ave, San Angelo, TX 76903-5906 | 2005-09-08 |
| 1013912740 | Jesse L Jurado | Internal Medicine | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2005-06-17 |
| 1255696522 | Melissa Aleta | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-07-11 |
| 1225397250 | Kaushal Sondarwa | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-05-11 |
| 1184881625 | Amin Parhizgar | Internal Medicine | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2008-05-21 |
| 1922280882 | West Texas Nephrology Associates | Internal Medicine | 3501 Executive Dr, San Angelo, TX 76904-6883 | 2007-12-03 |
| 1699770313 | Steve Frank Montoya Jr. | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on WEST TEXAS NEPHROLOGY 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.