Healthcare Provider Details

I. General information

NPI: 1689966905
Provider Name (Legal Business Name): ANGLES TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 BRITTON
DALLAS TX
75216
US

IV. Provider business mailing address

2646 BRITTON DR
DALLAS TX
75216-3104
US

V. Phone/Fax

Practice location:
  • Phone: 214-382-1682
  • Fax:
Mailing address:
  • Phone: 214-382-1682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSALAND JOYCE ANDREWS
Title or Position: OWNER
Credential:
Phone: 214-382-1682