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NPI 1942236062

NPI 1942236062 : ROMEO B SANGALANG MDPA : SHAMROCK, TX

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General NPI Number Information
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    NPI Number           |    1942236062
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROMEO B SANGALANG MDPA 
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Dates
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    Enumeration Date     |    06/23/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1000 S MAIN ST 
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    City                 |    SHAMROCK
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    State                |    TX
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    Zip                  |    79079-2820
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    Country              |    US
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    Telephone            |    806-256-1242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8337 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79114-8337
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    Country              |    US
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    Telephone            |    806-355-6593
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    Fax                  |    806-352-8774
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ROMEO B SANGALANG 
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    Credential           |    MD
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    Telephone            |    806-256-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    G4703
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    G4703
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    License Number State |    TX
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