Individual
MR. DAVID SHANE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
520 DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 606-6400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1032557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N8103
MEDICARE
TX
05
—
421635001
—
TX
Enumeration date
03/23/2021
Last updated
05/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us