Provider Demographics
NPI:1073570586
Name:SCHEUERLE, ANGELA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:E
Last Name:SCHEUERLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-456-9093
Mailing Address - Fax:214-456-2567
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:214-456-9093
Practice Address - Fax:214-456-2567
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7656207SG0201X, 207SG0203X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10008168Medicaid
TX5586394OtherAETNA
TX905952Medicaid
TX1554891-01Medicaid
TX7815483004OtherCIGNA
TX752878989-75230-A002OtherTRICARE
TX0039KKOtherBCBS PPO AND POS
TX10097155OtherACCOUNTABLE INS
TX819234OtherFIRST HEALTH
TX8J9510OtherBCBS HMO
OK200016180AMedicaid
TX5113007OtherCCN
TX905952Medicaid
TX8J9510OtherBCBS HMO