Healthcare Provider Details

I. General information

NPI: 1902843865
Provider Name (Legal Business Name): RONALD G. ANGUS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 W PARKER RD
PLANO TX
75093-8171
US

IV. Provider business mailing address

6160 WARREN PKWY STE 100
FRISCO TX
75034-9415
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-6362
  • Fax: 844-842-0009
Mailing address:
  • Phone: 214-221-6362
  • Fax: 844-842-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ1612
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: