Organization
ANGLES PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAY M JOHNSON (MANAGER)
(281) 235-8740
Entity
Organization
Contact information
Practice address
17631 PATTIGLEN DR, HOUSTON, TX 77084-1673
(281) 235-8740
Mailing address
17631 PATTIGLEN DR, HOUSTON, TX 77084-1673
(281) 235-8740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
23500000X
TX
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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