Doctor Name: | MARIA VICTORIA ANGELES |
NPI Number: | 1073543054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C. |
License Number: | PA04455 |
Business Practice Address: | 907 E Eureka St Suite B Weatherford, TX - 76086 |
Business Phone Number: | 8175994901 |
Business Fax Number: | 8175994902 |
Mailing Address: | 907 E Eureka St, Suite B WEATHERFORD |
State: | TX |
Postal Code: | 76086 |
Phone Number: | 8175994901 |
Fax Number: | 8175994902 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA04455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |