Individual
ANGELA EKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7421 CORDOBA DR, AUSTIN, TX 78724-6252
(763) 464-9648
Mailing address
7421 CORDOBA DR, AUSTIN, TX 78724-6252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP143323
TX
363L00000X
Nurse Practitioner
Primary
AP143323
TX
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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