Provider Demographics
NPI:1457323537
Name:ANGLE, BRYAN NEIL (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:NEIL
Last Name:ANGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5540 SARATOGA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2999
Mailing Address - Country:US
Mailing Address - Phone:361-993-8510
Mailing Address - Fax:361-985-2917
Practice Address - Street 1:5540 SARATOGA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2999
Practice Address - Country:US
Practice Address - Phone:361-993-8510
Practice Address - Fax:361-985-2917
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ-1844207W00000X, 207WX0107X
TXJ1844207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology