# ANGELA BURRUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245657824
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 577526 | TX | Yes |

## Other

- **Enumeration date:** 03/21/2014
- **Last updated:** 05/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 344709601 | — | TX |
| 05 | — | 34479602 | — | TX |
| 01 | — | 75-2616977-001 | TRICARE | TX |
| 01 | — | 775079 | MEDICARE | TX |
| 01 | — | 8055NP | BCBS | TX |
| 01 | — | P01454895 | RAIL ROAD MEDICARE | TX |
| 01 | — | P02207506 | MEDICARE RAIL ROAD | TX |