| Angela D Self Md | |
|
5409 Davis Blvd North Richland Hills TX 76180-6827 | |
| (817) 788-1059 | |
| (817) 581-1065 |
| Full Name | Angela D Self Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5409 Davis Blvd, North Richland Hills, Texas |
| Authorized Official Name and Position | Angela D Self (OWNER) |
| Authorized Official Contact | 8177881059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela D Self Md 5409 Davis Blvd North Richland Hills TX 76180-6827 Ph: (817) 788-1059 | Angela D Self Md 5409 Davis Blvd North Richland Hills TX 76180-6827 Ph: (817) 788-1059 |
| NPI Number | 1104023134 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104023134 | NPI | - | NPPES |
| 0043KL | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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