Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | J7656 | TX |
Y | 208000000X | Pediatrician | J7656 | TX |
NPI | 1073570586 |
---|---|
Provider Name | Dr. Angela E Scheuerle |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 11/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039KK | BCBS PPO AND POS (01) | TX |
10008168 | (05) | TX |
10097155 | ACCOUNTABLE INS (01) | TX |
1554891-01 | (05) | TX |
200016180A | (05) | OK |
5113007 | CCN (01) | TX |
5586394 | AETNA (01) | TX |
752878989-75230-A002 | TRICARE (01) | TX |
7815483004 | CIGNA (01) | TX |
819234 | FIRST HEALTH (01) | TX |
8J9510 | BCBS HMO (01) | TX |
905952 | (05) | TX |
F95645 | (02) | TX |