Individual
DR. IAN F ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2965 HARRISON ST, SUITE 111, BEAUMONT, TX 77702-1100
(409) 898-7800
(409) 898-3295
Mailing address
2965 HARRISON ST, SUITE 111, BEAUMONT, TX 77702-1100
(409) 898-7800
(409) 898-3295
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
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