MEDICARE: BRYAN NEIL ANGLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	J-1844	TX
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	J1844	TX
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	J-1844	TX

General Provider Information

NPI Number	:	1457323537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN NEIL ANGLE MD

Provider Business Mailing Address
First Line	:	5540 SARATOGA BLVD STE 200
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2999
Country	:	US
Telephone Number	:	361-993-8510
Fax Number	:	361-985-2917

Provider Business Practice Location Address
First Line	:	5540 SARATOGA BLVD STE 200
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2999
Country	:	US
Telephone Number	:	361-993-8510
Fax Number	:	361-985-2917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	06/30/2025

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Directions to “ BRYAN NEIL ANGLE MD” Practice Location

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