Bernal, Angela

Bernal, Angela is an individual health care provider with primary practice located at 1250 S A W Grimes Blvd , Round Rock TX 78664-7429. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bernal, Angela can be contacted via phone (512) 310-7665.

Contact Information

Primary practice address
1250 S A W Grimes Blvd Round Rock TX 78664-7429
Phone: (512) 310-7665
Fax: (512) 310-9228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2089400 Texas

Profile Details

NPI number 1063764819
LBN Legal business name Bernal, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Oct 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063764819 NPPES
Other 0031DG BLUE CROSS BLUE SHIELD
MEDICAID 0944746-02 BLUE CROSS BLUE SHIELD

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