Individual
DR. ANGELENA HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J0526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300135779
RAILROAD MEDICARE
TX
01
—
86920R
BLUE CROSS
TX
Enumeration date
11/30/2006
Last updated
04/14/2020
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