Individual
ANGELA MICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3537 S INTERSTATE 35 E STE 220, DENTON, TX 76210-6813
(972) 696-0030
Mailing address
4001 W 15TH ST STE 425, PLANO, TX 75093-5848
(972) 696-0030
(972) 696-0037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09866
TX
Other
Enumeration date
09/09/2015
Last updated
01/04/2022
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