Individual
DR. ANGELA C CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5001 EL PASO DRIVE, MSC 24001, EL PASO, TX 79905
(915) 215-5440
(915) 215-4678
Mailing address
5548 LAST WALTZ DR, EL PASO, TX 79932-2052
(915) 215-5440
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
37679
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
8608
SC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
873
SC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS030650L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00147013
MEDICARE RAILROAD CARRIER
SC
05
—
ZX0019
—
SC
Enumeration date
02/08/2006
Last updated
08/10/2022
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