Provider Demographics
NPI:1023671369
Name:SAULABIU, ANGELICA CHIAMAKA (DPM)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:CHIAMAKA
Last Name:SAULABIU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 FM 517 RD E STE A
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-8666
Mailing Address - Country:US
Mailing Address - Phone:281-337-4567
Mailing Address - Fax:409-762-8245
Practice Address - Street 1:909 FM 517 RD E STE A
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-8666
Practice Address - Country:US
Practice Address - Phone:281-337-4567
Practice Address - Fax:409-762-8245
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX3133213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program