Individual
ANGELICA L HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 RIVERWOOD CT, CONROE, TX 77304-2811
(936) 756-8331
(936) 760-2898
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 756-8331
(936) 760-2898
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1605
TEXAS LICENSE
TX
Enumeration date
08/16/2006
Last updated
05/04/2020
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