Angelos, George M

Angelos, George M is an individual health care provider with primary practice located at 1717 E Harrison Ave , Harlingen TX 78550-7389. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Angelos, George M can be contacted via phone (956) 428-2221.

Contact Information

Primary practice address
1717 E Harrison Ave Harlingen TX 78550-7389
Phone: (956) 428-2221
Fax: (956) 423-4492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 17313 Texas

Profile Details

NPI number 1013068055
LBN Legal business name Angelos, George M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 17th, 2014 - about 11 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 1013068055 NPPES
Texas MEDICAID 126730402

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