Angela D Self Md

LBN: Angela D Self Md
Angela D Self Md is an health care organization with primary practice located at 5409 Davis Blvd , North Richland Hills TX 76180-6827. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Angela D Self Md can be contacted via phone (817) 788-1059, or through Self, Angela D via phone (817) 788-1059.

Contact Information

Primary practice address
5409 Davis Blvd North Richland Hills TX 76180-6827
Phone: (817) 788-1059
Fax: (817) 581-1065
Website:
Map and Directions
Authorized official contact:
Name: Self, Angela D Doctor of Medicine (MD)
Phone: (817) 788-1059

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1104023134
LBN Legal business name Angela D Self Md
DBA Doing business as
Authorized official Self, Angela D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 10th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104023134 NPPES
Texas Other 0043KL BLUE CROSS BLUE SHIELD

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