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NPI Code Detail

MEDICARE: DIXILYN DONN CANGELOSI

MEDICARE:   DIXILYN DONN CANGELOSI
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
1363LA2200XAdult Health Nurse Practitioner1012474TX

General Provider Information

NPI Number : 1497601686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIXILYN DONN CANGELOSI
Provider Business Mailing Address
First Line : 500 TIMBERHAVEN TRL
Second Line :
City : ROYSE CITY
State : TX
Zip : 75189-8681
Country : US
Telephone Number : 903-454-4048
Fax Number :
Provider Business Practice Location Address
First Line : 500 TIMBERHAVEN TRL
Second Line :
City : ROYSE CITY
State : TX
Zip : 75189-8681
Country : US
Telephone Number : 903-454-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ DIXILYN DONN CANGELOSI ” Practice Location

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