Provider Demographics
NPI:1588604805
Name:CLAUDIO, ANGEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:L
Last Name:CLAUDIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2214 E US HIGHWAY 377
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-6010
Mailing Address - Country:US
Mailing Address - Phone:682-936-2636
Mailing Address - Fax:888-315-4523
Practice Address - Street 1:1726 BENT TREE CT
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-8086
Practice Address - Country:US
Practice Address - Phone:682-936-2636
Practice Address - Fax:888-315-4523
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2016-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2104207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDG4098OtherMEDICARE RAILROAD
TX081315601Medicaid
TX081315601Medicaid