Angeles, Fernando San Miguel

Angeles, Fernando San Miguel is an sole proprietor health care provider with primary practice located at 11803 S Interstate 35W Suite 354, Fort Worth TX 76115-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Angeles, Fernando San Miguel can be contacted via phone (817) 293-9140.

Contact Information

Primary practice address
11803 S Interstate 35W Suite 354 Fort Worth TX 76115-0000
Phone: (817) 293-9140
Fax: (817) 293-2392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E7800 Texas

Profile Details

NPI number 1053353144
LBN Legal business name Angeles, Fernando San Miguel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 5th, 2012 - about 13 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 1053353144 NPPES
Texas MEDICAID 032272902

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