Individual
ANGELA KAY PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DME PROVIDER
Contact information
Practice address
500 E ROUND GROVE RD STE 301, LEWISVILLE, TX 75067-8380
(214) 488-8885
(972) 316-8885
Mailing address
500 E ROUND GROVE RD STE 301, LEWISVILLE, TX 75067-8380
(214) 488-8885
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM03106
TX
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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