| Doctor Name: | ANGELA VICTORIA THRAHSER |
| NPI Number: | 1215049283 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT870615 |
| Business Practice Address: | 111 G St Arnold Annex, Bldg 5901 Biloxi, MS - 395342410 |
| Business Phone Number: | 2283770801 |
| Business Fax Number: | 2283770371 |
| Mailing Address: | 151 Grande View Dr, Apt #221 BILOXI |
| State: | MS |
| Postal Code: | 395314717 |
| Phone Number: | 2406062416 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | PT870615 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |