Carollo, Angela Anderson
Carollo, Angela Anderson is an individual health care provider with primary practice located at 3417 Gaston Avenue Suite 790, Dallas TX 75246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Carollo, Angela Anderson can be contacted via phone (214) 821-5266.Contact Information
Primary practice address
3417 Gaston Avenue Suite 790
Dallas TX 75246
Phone: (214) 821-5266
Fax: (214) 821-0459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | L0768 | Texas |
Profile Details
| NPI number | 1306805585 |
|---|---|
| LBN Legal business name | Carollo, Angela Anderson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 25th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306805585 | NPPES |
| Texas | Other | 8A7896 | BCBSTX |
| Texas | MEDICAID | 147225002 | BCBSTX |
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