Mayra Karina Angel
Individual provider Active NPI Registered Nurse · Anthony, TX
NPI 1083067441 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1083067441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 843988 (TX)
- Practice address
- 3123 Myriam Dr
Anthony, TX 79821-7259 - Phone
- (915) 207-6076
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843988 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 843988 | TX | Yes |
Addresses
Primary practice location
3123 Myriam Dr
Anthony, TX 79821-7259
Mailing address
3123 Myriam Dr
Anthony, TX 79821-7259
Phone (915) 207-6076
Other providers in Anthony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.