Healthcare Provider Details

I. General information

NPI: 1386849677
Provider Name (Legal Business Name): ANGELA K CASE-SUTPHEN CPNP-AC, PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON TX
75082-3561
US

IV. Provider business mailing address

1121 E SPRING CREEK PKWY. STE. 110 - #319
PLANO TX
75074
US

V. Phone/Fax

Practice location:
  • Phone: 469-204-1000
  • Fax:
Mailing address:
  • Phone: 214-343-6663
  • Fax: 214-343-2814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number653122
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP111076
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: