Organization
ANGELINA JAGPAL, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA JAGPAL O.D. (OWNER)
(972) 462-9304
Entity
Organization
Contact information
Practice address
9101 N TARRANT PKWY, NORTH RICHLAND HILLS, TX 76180-1655
(817) 514-0100
Mailing address
421 AVALON LN, COPPELL, TX 75019-7580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6824T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42082
SPECTERA PROVIDER NUMBER
—
01
—
53414
DAVIS VISION PROVIDER NUM
—
01
—
928854
BLOCK VISION PROVIDER NO.
—
Enumeration date
04/20/2007
Last updated
08/22/2020
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