| Doctor Name: | MRS. ANGELA POOLE CABANISS |
| NPI Number: | 1346646320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | AP126941 |
| Business Practice Address: | 601 Hwy 110 N Bay 0 Whitehouse, TX - 757913037 |
| Business Phone Number: | 9038392585 |
| Business Fax Number: | |
| Mailing Address: | Po Box 846098, DALLAS |
| State: | TX |
| Postal Code: | 752846098 |
| Phone Number: | 9033246450 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2014 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP126941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |