Individual
ANGELA LEANN ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4316 JAMES CASEY ST, BLDG B, SUITE 200, AUSTIN, TX 78745-1116
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208354, DALLAS, TX 75320-0343
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05038
TX
363AM0700X
Medical Physician Assistant
PA05038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295916501
—
TX
01
—
658826
TEXAS MEDICARE PTAN
TX
01
—
6588825
TEXAS MEDICARE PTAN
TX
01
—
710692
TEXAS MEDICARE PTAN
TX
Enumeration date
12/29/2006
Last updated
03/10/2023
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