CONCHO VALLEY OB-GYN
NPI 1164819603
Clinic/Center - Medical Specialty in San Angelo, TX

Active since April 22, 2015
3019 GREEN MEADOW DR, SAN ANGELO, TX 76904(325) 944-9999(325) 944-9996 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Concho Valley Ob-gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCHO VALLEY OB-GYN (NPI 1164819603) is a healthcare organization registered as a medical specialty in San Angelo, Texas and active in the NPI registry since April 2015. The organization lists Jennifer Michele Moss, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1164819603
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJENNIFER M MOSS
Location Address3019 GREEN MEADOW DRSan Angelo, TX 76904-6975
Mailing Address3019 Green Meadow DrSan Angelo, TX 76904-6975 · (325) 944-9999 · Fax (325) 944-9996
Fax(325) 944-9996
Organization SubpartNo
Authorized OfficialJennifer Michele MossSole Proprietor · (325) 944-9999
Enumeration DateApril 22, 2015
Last NPPES UpdateSeptember 29, 2015
NPI 1164819603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in TX · K7835
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3019 GREEN MEADOW DR, San Angelo, TX 76904

Other Names 1

Doing Business AsConcho Valley Ob-gyn

Other Identifiers 1

Other1508019993TX · Npi

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904
Behavior Technician
3019 GREEN MEADOW DR
SAN ANGELO, TX 76904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164819603, enumerated as an "organization" on April 22, 2015.

The provider is located at 3019 GREEN MEADOW DR SAN ANGELO, TX 76904 and the phone number is (325) 944-9999.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.