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ANGEL PEDIATRICS P.A. NPI 1205071206


NPI Information

NPI: 1205071206
Provider Name: ANGEL PEDIATRICS P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1094112

Address:
717 S GREENVILLE AVE
SUITE 104
ALLEN, TX
ZIP 75002
Phone: (972) 396-1900
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ANGEL PEDIATRICS P.A. is a pediatrics in Allen, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ANGEL PEDIATRICS P.A. NPI is 1205071206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

717 S GREENVILLE AVE
SUITE 104
ALLEN, TX
ZIP 75002-317
Phone: (972) 396-1900
Fax: (972) 591-4589

The provider's authorized official is Christine Loya .
The authorized official title is Office Manager and has the following contact phone number (214) 616-6783.

The CLIA number assigned to this NPI record is 45D1094112 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2008 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsL8604TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L8604OTHERTEXASLICENSE
2200601701OTHERTEXASMEDICAID TX INDIVIDUAL TPI
3200598501OTHERTEXASMEDICAID TPI - GROUP
4200598502OTHERTEXASMEDICAID TPI- GROUP HEALTH STEPS
5=========OTHERTEXASTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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