Earhart, Angela Dawn

Earhart, Angela Dawn is an sole proprietor health care provider with primary practice located at 350 Kingwood Medical Drive Suite 215, Kingwood TX 77339-4412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Earhart, Angela Dawn can be contacted via phone (832) 978-5611.

Contact Information

Primary practice address
350 Kingwood Medical Drive Suite 215 Kingwood TX 77339-4412
Phone: (832) 978-5611
Fax: (281) 205-0204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X M4767 Texas

Profile Details

NPI number 1326120734
LBN Legal business name Earhart, Angela Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Feb 14th, 2018 - about 6 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 1326120734 NPPES
Texas Other 8BZ693 BLUE CROSS BLUE SHIELD
Texas MEDICAID 185571006 BLUE CROSS BLUE SHIELD

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