MEDICARE: ANGELA AKIN D.O.

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	207Q00000X	Family Medicine Physician	N7899	TX

General Provider Information

NPI Number	:	1912191982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA AKIN D.O.

Provider Business Mailing Address
First Line	:	450 CYPRESS CREEK RD
Second Line	:	BLDG #5
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4195
Country	:	US
Telephone Number	:	512-249-1400
Fax Number	:	512-249-1800

Provider Business Practice Location Address
First Line	:	450 CYPRESS CREEK RD
Second Line	:	BLDG #5
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4195
Country	:	US
Telephone Number	:	512-249-1400
Fax Number	:	512-249-1800

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

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	08/21/2013

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