Healthcare Provider Details

I. General information

NPI: 1750536462
Provider Name (Legal Business Name): ANGELICA TORRES YRIGOLLEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E WHEATLAND RD STE 106
DUNCANVILLE TX
75116-4918
US

IV. Provider business mailing address

777 E WHEATLAND RD STE 106
DUNCANVILLE TX
75116-4918
US

V. Phone/Fax

Practice location:
  • Phone: 972-685-5094
  • Fax: 972-685-5108
Mailing address:
  • Phone: 972-685-5094
  • Fax: 972-685-5108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number548665
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: