Individual
AILEEN HARGRODER ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
05445
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP128243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04435244
—
MS
01
—
265173YJXS
MEDICARE
LA
05
—
380118501
—
TX
05
—
380118502
—
TX
01
—
380118503
CSHCN
TX
Enumeration date
03/31/2008
Last updated
04/11/2019
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