Angel, Angela Marie

Angel, Angela Marie is an individual health care provider with primary practice located at 8160 Walnut Hill Ln Suite 200, Dallas TX 75231-4339. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Angel, Angela Marie can be contacted via phone (214) 363-4421.

Contact Information

Primary practice address
8160 Walnut Hill Ln Suite 200 Dallas TX 75231-4339
Phone: (214) 363-4421
Fax: (214) 987-1657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K0411 Texas

Profile Details

NPI number 1578516654
LBN Legal business name Angel, Angela Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578516654 NPPES
Texas Other K0411 STATE LICENSE
Texas MEDICAID 029394601 STATE LICENSE
Texas Other 81591Y STATE LICENSE

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