Individual
ANGELA MICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 E BROAD ST, MANSFIELD, TX 76063-6409
(469) 695-2028
(469) 695-2029
Mailing address
2800 E BROAD ST, MANSFIELD, TX 76063-6409
(469) 695-2028
(469) 695-2029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09866
TX
Other
Enumeration date
09/09/2015
Last updated
05/19/2026
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