Bsa Physicians Group INC

NPI #1457696916 in Amarillo, Texas

Provider Information

NPI Number: 1457696916
Entity Type: Organization
Organization Name: Bsa Physicians Group INC
Subpart: Yes (part of a larger organization)
Parent Organization: BSA PHYSICIAN HOLDING COMPANY LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 10, 2012
Last Updated: Dec 17, 2012

Practice Location

Address: 1600 WALLACE BLVD
City: Amarillo
State: Texas
ZIP Code: 79106-1799
Phone: (806) 212-6965

Authorized Official

Name: STEPHEN C PETROVICH
Title: SVP
Phone: (615) 296-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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