MEDICARE: ANGELICA CONTRERAS 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	Q1583	TX

General Provider Information

NPI Number	:	1972788891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA CONTRERAS D.O.

Provider Business Mailing Address
First Line	:	211 E 7TH ST STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	737-707-3909

Provider Business Practice Location Address
First Line	:	500 W WILLIAM CANNON DR STE 400
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5879
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	737-707-3908

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

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	05/13/2026

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Directions to “ ANGELICA CONTRERAS D.O.” Practice Location

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