Healthcare Provider Details

I. General information

NPI: 1871787978
Provider Name (Legal Business Name): FAMILY PLANNING OF SAN ANGELO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1928 PECOS ST
SAN ANGELO TX
76901-3171
US

IV. Provider business mailing address

223 S ABE ST
SAN ANGELO TX
76903-6305
US

V. Phone/Fax

Practice location:
  • Phone: 325-944-9274
  • Fax:
Mailing address:
  • Phone: 325-655-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number214715
License Number StateTX

VIII. Authorized Official

Name: KAY H FRANKS
Title or Position: PROVIDER
Credential: NP
Phone: 325-655-7969