Individual
MARIA VICTORIA ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
907 E EUREKA ST, SUITE B, WEATHERFORD, TX 76086
(817) 599-4901
(817) 599-4902
Mailing address
907 E EUREKA ST, SUITE B, WEATHERFORD, TX 76086
(817) 599-4901
(817) 599-4902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1585
BCBS
TX
Enumeration date
07/04/2006
Last updated
07/28/2008
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