MEDICARE: ANGELA LYNN DUNBAR FNP

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	363LF0000X	Family Nurse Practitioner	1169588	TX

General Provider Information

NPI Number	:	1528898327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA LYNN DUNBAR FNP

Provider Business Mailing Address
First Line	:	128 COUNTY ROAD 655
Second Line	:
City	:	BRAZORIA
State	:	TX
Zip	:	77422-8628
Country	:	US
Telephone Number	:	979-236-1969
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 E HOSPITAL DR STE 102
Second Line	:
City	:	ANGLETON
State	:	TX
Zip	:	77515-4170
Country	:	US
Telephone Number	:	979-864-3034
Fax Number	:	979-319-3237

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

Provider Enumeration Date	:	08/06/2024
Last Update Date	:	10/22/2025

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