Provider Demographics
NPI:1275208050
Name:ANGEL HEALTH CARE SERVICES PC
Entity Type:Organization
Organization Name:ANGEL HEALTH CARE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OGBOGU-NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:469-682-5307
Mailing Address - Street 1:974 SHADDOCK PARK LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5665
Mailing Address - Country:US
Mailing Address - Phone:469-682-5307
Mailing Address - Fax:
Practice Address - Street 1:974 SHADDOCK PARK LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5665
Practice Address - Country:US
Practice Address - Phone:469-682-5307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty