Individual
DR. ANGELA RACQUEL EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0024638
TX
207R00000X
Internal Medicine Physician
Primary
N3660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3711451877
MYUTMB 3711451877-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
02/01/2022
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