Individual
ANGELIA N/A CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 TUSKEGEE ST, HOUSTON, TX 77091-4120
(713) 657-9084
Mailing address
9597 JONES RD # 117, HOUSTON, TX 77065-4815
(713) 657-9084
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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