Twilley, Angela M

Twilley, Angela M is an individual health care provider with primary practice located at 4420 W Main St Ste A , League City TX 77573-1737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Twilley, Angela M can be contacted via phone (832) 632-1015.

Contact Information

Primary practice address
4420 W Main St Ste A League City TX 77573-1737
Fax: (832) 905-5175
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04776 Texas

Profile Details

NPI number 1871541607
LBN Legal business name Twilley, Angela M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 24th, 2020 - 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 1871541607 NPPES
Texas MEDICAID 182414601
Texas Other 1871541607
Texas Other 8N9868

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