Individual
ANGEL SHIBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 PRINCE GEORGE AVE STE 100, DESOTO, TX 75115-2087
(972) 634-8110
Mailing address
2701 PRINCE GEORGE AVE STE 100, DESOTO, TX 75115-2087
(972) 634-8110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19530
TX
Other
Enumeration date
09/08/2025
Last updated
10/06/2025
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