Individual
ELENA MISA ANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0395
(830) 709-5493
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0395
(830) 709-5493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1050466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050466
LICENSE NUMBER
TX
Enumeration date
04/24/2008
Last updated
04/24/2008
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