MEDICARE: ANGELA LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT5965	TX

General Provider Information

NPI Number	:	1174989396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA LEE

Provider Business Mailing Address
First Line	:	7324 CASCADE CT APT 1034
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-7402
Country	:	US
Telephone Number	:	801-358-3545
Fax Number	:

Provider Business Practice Location Address
First Line	:	7324 CASCADE CT APT 1034
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-7402
Country	:	US
Telephone Number	:	801-358-3545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	01/04/2016

Similar Medicare Providers

1184414849 — RASHONDA AYRO LMSW
Practice Location Address:

5419 CARVER DR
FORT WORTH, TX
76107-7402

Practice Phone: 682-862-9033
Practice Fax:

1265324727 — KAZLYN ROBERTS
Practice Location Address:

1650 W ROSEDALE ST STE 120
FORT WORTH, TX
76104-7402

Practice Phone: 877-314-8990
Practice Fax:

1881120905 — VALERIE WASHINGTON RN
Practice Location Address:

7402 FAWLEY AVE
FORT WASHINGTON, MD
20744-2124

Practice Phone: 202-748-5479
Practice Fax:

1013425727 — LATOYA CAMAY HOWELL APRN
Practice Location Address:

5263 BELAND DR
LAKE WORTH, FL
33467-7402

Practice Phone: 561-598-0558
Practice Fax: 561-572-3228

1023945136 — DREAM HAVEN EXTENSIONS
Practice Location Address:

4500 MERCANTILE PLAZA DR # 17147172
FORT WORTH, TX
76137-4225

Practice Phone: 214-635-6412
Practice Fax:

1023012002 — HUY LE NGUYEN MD
Practice Location Address:

7355 N BEACH ST , SUITE 153
FORT WORTH, TX
76137-1897

Practice Phone: 817-984-7100
Practice Fax: 817-984-7099

Directions to “ ANGELA LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.