Healthcare Provider Details

I. General information

NPI: 1376366013
Provider Name (Legal Business Name): PHOEBE ANGALOT MAGDALES APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 DATAPOINT DR STE 200
SAN ANTONIO TX
78229-3745
US

IV. Provider business mailing address

PO BOX 650002 DEPT 8286
DALLAS TX
75265-0002
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-7900
  • Fax: 210-615-1211
Mailing address:
  • Phone: 210-212-8622
  • Fax: 210-212-9197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1179327
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1179327
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: