Individual
MRS. ANGELA MARY MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4135
(830) 620-7744
(830) 625-0353
Mailing address
1335 CROWN BRK, SAN ANTONIO, TX 78260-2485
(210) 887-8593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 04212
TX
Other
Enumeration date
11/21/2006
Last updated
07/09/2007
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