# MRS. ANGELA M TWILLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871541607
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA04776 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 02/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182414601 | — | TX |
| 01 | — | 1871541607 | TRICARE SOUTH | TX |
| 01 | — | 8N9868 | BCBSTX PROV NO. | TX |