Healthcare Provider Details

I. General information

NPI: 1083957427
Provider Name (Legal Business Name): MEGAN M ANGEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN F MCCLUNG MD

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 N LAKE CREEK PKWY
AUSTIN TX
78717-6210
US

IV. Provider business mailing address

2615 BARTON HILLS DR
AUSTIN TX
78704-4537
US

V. Phone/Fax

Practice location:
  • Phone: 540-556-4279
  • Fax:
Mailing address:
  • Phone: 405-556-4279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ7925
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberQ7925
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberQ7925
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: