# ANGELIQUE BARRETO MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023404720
- **Authorized official:** ANGELIQUE BARRETO M.D. (MANAGER)
- **Authorized official phone:** (405) 760-3363

## Contact information

- **Practice address:** 3724 EXECUTIVE CENTER DRIVE, SUITE 150, AUSTIN, TX 78731
- **Practice address phone:** (512) 956-1210
- **Mailing address:** 3724 EXECUTIVE CENTER DRIVE, SUITE 150, AUSTIN, TX 78731
- **Mailing address phone:** (512) 956-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | Q2100 | TX | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015