Provider Demographics
NPI:1548568389
Name:ANGEL ZOE
Entity Type:Organization
Organization Name:ANGEL ZOE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-894-5848
Mailing Address - Street 1:1315 ST JOSEPH PKWY STE 1111
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8235
Mailing Address - Country:US
Mailing Address - Phone:713-894-5848
Mailing Address - Fax:225-927-1588
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8235
Practice Address - Country:US
Practice Address - Phone:713-894-5848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty