Individual
MS. ANGELA GALE SANDERS-BANUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
4461 COIT RD STE 101, FRISCO, TX 75035-0522
(972) 335-8455
(972) 335-7560
Mailing address
4461 COIT RD STE 101, FRISCO, TX 75035-0522
(214) 497-5223
(972) 335-7560
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8E0376
MEDICARE RAILROAD NUMBER
TX
Enumeration date
05/06/2006
Last updated
02/14/2014
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