Provider Demographics
NPI:1033139738
Name:ANGLAS, PABLO H (MD)
Entity Type:Individual
Prefix:DR
First Name:PABLO
Middle Name:H
Last Name:ANGLAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:222 LAS COLINAS BLVD W
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5421
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:214-941-7818
Practice Address - Street 1:916 W ILLINOIS AVE
Practice Address - Street 2:WYNNEWOOD SHOPPING CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1754
Practice Address - Country:US
Practice Address - Phone:214-941-7611
Practice Address - Fax:214-941-7818
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL5225208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D6154Medicare ID - Type Unspecified
TX159646203Medicaid