| Freddy Angulo, M.D., P.A. | |
|
139 Kinross Dr San Antonio TX 78209-2214 | |
| (210) 267-7111 | |
| Not Available |
| Full Name | Freddy Angulo, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 139 Kinross Dr, San Antonio, Texas |
| Authorized Official Name and Position | Freddy Angulo (OWNER) |
| Authorized Official Contact | 2102677111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freddy Angulo, M.D., P.A. 139 Kinross Dr San Antonio TX 78209-2214 Ph: (210) 267-7111 | Freddy Angulo, M.D., P.A. 139 Kinross Dr San Antonio TX 78209-2214 Ph: (210) 267-7111 |
| NPI Number | 1487008595 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Medicare PECOS PAC ID | 3779876503 |
|---|---|
| Medicare Enrollment ID | O20160801001331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487008595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Freddy Angulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255472205 PECOS PAC ID: 7719038900 Enrollment ID: I20090629000511 |
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