Individual
DR. IAN F ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J1843
TX
207T00000X
Neurological Surgery Physician
Primary
J1843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020HD
GROUP BCBS
TX
05
—
096569104
—
TX
05
—
148913001
—
TX
01
—
2491021005
CIGNA
TX
01
—
5306425
AETNA
TX
01
—
8F3761
BCBS
TX
01
—
A002
TRICARE/CHAMPUS
TX
Enumeration date
07/08/2005
Last updated
06/30/2023
Update your record
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