Individual
MS. ANGELA VODRASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1631 LANCASTER DR, STE. 150, GRAPEVINE, TX 76051-3585
(817) 251-9080
(817) 251-9082
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01887047
RAILROAD
TX
Enumeration date
06/24/2014
Last updated
11/04/2019
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