Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

IV League Health & Wellness

Organization Family Medicine Physician · NPI 1619728243

IV League Health & Wellness is a Family Medicine Physician in San Angelo, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

223 S Abe St
San Angelo, TX 76903-6305
Phone: (325) 655-7969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1619728243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Jacobo — Credentialing Manager · (325) 374-0821
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 31, 2024
Mailing address223 S Abe St, San Angelo, TX 76903-6305

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