Angela Fair
Preferred Provider Organization in Spring, TX. Organization (NPI-2).
NPI number1568512796
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1568512796
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela Fair
- Organization subpart
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Other names
- Angela Fair (Doing Business As)
Practice location
24102 Stargazer PtSpring, TX 77373-7898
Phone 713-365-0429
Mailing address
24102 Stargazer PtSpring, TX 77373-7898
Phone 713-365-0429 · Fax 713-365-9238
Authorized official
Angela Fair
Owner
7133650429
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