Individual
ANGELA BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12124 RIDGEFAIR PL, FARMERS BRANCH, TX 75234-7804
(817) 914-7022
Mailing address
12124 RIDGEFAIR PL, FARMERS BRANCH, TX 75234-7804
(817) 914-7022
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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