Individual
ANGIE MOLINA BARAJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
891373
TX
363L00000X
Nurse Practitioner
Primary
AP1091094
TX
363LA2100X
Acute Care Nurse Practitioner
1091094
TX
Other
Enumeration date
11/17/2022
Last updated
03/19/2024
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