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Individual

ANGELA L CATALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1515 HOLCOMBE BLVD., HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
678266
TX
363LA2100X
Acute Care Nurse Practitioner
678266
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190743802 (MDACC)
TX
01
858N12
BCBS (MDACC)
TX
01
8V3849
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/05/2007
Last updated
04/06/2012
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