Individual
ANGEL TRIEU-DIMACULANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5425 W US HWY 290 SERVICE ROAD, AUSTIN, TX 78735
(512) 654-2260
Mailing address
13508 RYAN MATTHEW DR, AUSTIN, TX 78727-1249
(713) 423-9290
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
51534
TX
1835P1200X
Pharmacotherapy Pharmacist
Primary
51534
TX
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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