Individual
DR. JACQUELINE ANGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4305 N MESA ST STE B, EL PASO, TX 79902-1124
(915) 779-7378
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273692
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
273692
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
52085
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
U23432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2611623
—
OH
01
—
273692
MED LICENSE
NY
Enumeration date
05/31/2006
Last updated
08/29/2023
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