Individual
JANE C ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5035 OAKMONT DR, BEAUMONT, TX 77706-7640
(409) 924-7391
Mailing address
5035 OAKMONT DR, BEAUMONT, TX 77706-7640
(409) 924-7391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3065
MEDICAL LICENSE
TN
05
—
P081Y8470
—
TX
Enumeration date
03/03/2006
Last updated
02/14/2017
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