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Individual

DR. ANGELA LOUISE CLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
147 FREDERICKSBURG RD, NEW BRAUNFELS, TX 78130-5434
(830) 625-5716
(830) 625-5773
Mailing address
147 FREDERICKSBURG RD, NEW BRAUNFELS, TX 78130-5434
(830) 625-5716
(830) 625-5773

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6926T
TX
152W00000X
Optometrist
OPT.0002901
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75089246
CO
01
P01292815
RAILROAD MEDICARE
CO
Enumeration date
07/17/2006
Last updated
02/10/2022
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