Fernando San Miguel Angeles

NPI 1053353144 - Surgery - 208600000X

NPI Details
NPI 1053353144
Gender Male
Enumeration Date 06/12/2006
Last Updated 11/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
11803 S INTERSTATE 35W
SUITE 354
FORT WORTH TX, 76115-0000, US
Phone (817) 293-9140
Fax (817) 293-2392
Business Location
8808 RACQUET CLUB DR
FORT WORTH TX, 76120-2836, US
Phone (817) 861-3147
Fax
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number E7800
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According to our database, Dr. Fernando San Miguel Angeles NPI is 1053353144, taxonomy code is 208600000X and license number is E7800, license state is located at Texas. Fernando San Miguel Angeles physically located at 11803 S Interstate 35w, Fort Worth TX, 76115-0000. NPI Number Fernando San Miguel Angeles has the Individual type.

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1053353144 NPI number is provided on an as is basis without warranty of any kind. 1053353144 is maintained by the National Plan & Provider Enumeration System. The contents of Fernando San Miguel Angeles are for informational purposes only.