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Individual

DR. DIMITRIOS ANGELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
701 W 5TH ST STE 3142, TTUHSC-DEPARTMENT OF PEDIATRICS, ODESSA, TX 79763-4206
(432) 703-5299
Mailing address
701 W 5TH ST STE 3142, TTUHSC-DEPARTMENT OF PEDIATRICS, ODESSA, TX 79763-4206
(432) 703-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P7605
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
P7605
TX

Other

Enumeration date
01/07/2009
Last updated
07/18/2014
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