Individual
MRS. DIMITRA ANGELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 SYLVAN AVE, DALLAS, TX 75212-4028
(214) 540-0300
Mailing address
3111 SYLVAN AVE, DALLAS, TX 75212-4028
(214) 540-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q1558
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2012
Last updated
03/24/2020
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