Freddy Angulo, M.d., P.a. | |
139 Kinross Dr San Antonio TX 78209-2214 | |
(210) 267-7111 | |
Not Available |
Full Name | Freddy Angulo, M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 139 Kinross Dr, San Antonio, Texas |
Authorized Official Name and Position | Freddy Angulo (OWNER) |
Authorized Official Contact | 2102677111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Freddy Angulo, M.d., P.a. 139 Kinross Dr San Antonio TX 78209-2214 Ph: (210) 267-7111 | Freddy Angulo, M.d., P.a. 139 Kinross Dr San Antonio TX 78209-2214 Ph: (210) 267-7111 |
NPI Number | 1487008595 |
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Provider Enumeration Date | 04/15/2016 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 3779876503 |
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Medicare Enrollment ID | O20160801001331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487008595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Freddy Angulo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255472205 PECOS PAC ID: 7719038900 Enrollment ID: I20090629000511 |
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