Individual
ANGELICA GHOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2610 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4429
(866) 389-2727
Mailing address
2610 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4429
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138759
TX
Other
Enumeration date
12/07/2018
Last updated
03/18/2021
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