Provider Demographics
NPI:1134504640
Name:DE ARMAS, ANGEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:DE ARMAS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 VALLEY FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2114
Mailing Address - Country:US
Mailing Address - Phone:786-319-7407
Mailing Address - Fax:
Practice Address - Street 1:2100 VALLEY FALLS AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2114
Practice Address - Country:US
Practice Address - Phone:786-319-7407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-26
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1027400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
4444OtherCSA