Provider Demographics
NPI:1821267014
Name:ANGELA MYLES M.D., P.A.
Entity Type:Organization
Organization Name:ANGELA MYLES M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MYLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-323-9338
Mailing Address - Street 1:9209 ELAM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-7360
Mailing Address - Country:US
Mailing Address - Phone:469-323-9338
Mailing Address - Fax:
Practice Address - Street 1:9209 ELAM RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-7360
Practice Address - Country:US
Practice Address - Phone:469-323-9338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7495207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty