Provider Demographics
NPI:1376112847
Name:SCHLAFLEY, ANGELA Q (NP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:Q
Last Name:SCHLAFLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:QUINTANILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12700 N FEATHERWOOD DR STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4494
Mailing Address - Country:US
Mailing Address - Phone:281-464-5139
Mailing Address - Fax:
Practice Address - Street 1:12700 N FEATHERWOOD DR STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4494
Practice Address - Country:US
Practice Address - Phone:281-464-5139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily