Wickstrum, Angela K

Wickstrum, Angela K is an individual health care provider with primary practice located at 5301 William D Tate Ave , Grapevine TX 76051-7357. 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. Wickstrum, Angela K can be contacted via phone (817) 251-2101.

Contact Information

Primary practice address
5301 William D Tate Ave Grapevine TX 76051-7357
Phone: (817) 251-2101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04934 Texas

Profile Details

NPI number 1912137977
LBN Legal business name Wickstrum, Angela K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jan 12th, 2015 - about 10 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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