Provider Demographics
NPI:1497002877
Name:ANGELL, JEFFREY (NP-C)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:ANGELL
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23330 HWY 59 N STE 300
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4471
Mailing Address - Country:US
Mailing Address - Phone:281-359-3223
Mailing Address - Fax:281-359-2089
Practice Address - Street 1:23330 HWY 59 N STE 300
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4471
Practice Address - Country:US
Practice Address - Phone:281-359-3223
Practice Address - Fax:281-359-2089
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-05
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily