Healthcare Provider Details

I. General information

NPI: 1497842769
Provider Name (Legal Business Name): ANGELIKA G LAMAR D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N MAPLE ST.
MUENSTER TX
76252-0476
US

IV. Provider business mailing address

PO BOX 476
MUENSTER TX
76252-0476
US

V. Phone/Fax

Practice location:
  • Phone: 940-759-4044
  • Fax:
Mailing address:
  • Phone: 970-759-4044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6879
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: