MRS. ANGELA MARDINE GEORGE (NPI# 1912217662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912217662 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MARDINE GEORGE |
| Credential | WHNP-BC |
| Practice Address |
4312 Heritage Trace Pkwy Suite 700 Fort Worth TX 76244-9132 |
| Practice Telephone | 8177419663 |
| Practice Fax Number | 8177413691 |
| Mailing Telephone | 8177419663 |
| Mailing Fax Number | 8177413691 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
684632 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013305796 | Angela Jeanine George | Advanced Practice Midwife | 18111 Se 16th St, Vancouver, WA 98683-1907 | 2015-01-02 |
| 1366693129 | Angela George | Physical Therapist | 1 Shepherds Way Ste 100, Warminster, PA 18974-4204 | 2008-10-09 |
| 1982162020 | Angela George | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-07 |
| 1841793452 | Angela June George | Nurse Practitioner | 3322 Colorado Blvd Ste 101, Denton, TX 76210-6889 | 2018-03-10 |
| 1376783910 | Angela Kay George | Pharmacist | 915 E 1st St, Duluth, MN 55805-2107 | 2009-02-23 |
| Street Address |
4312 HERITAGE TRACE PKWY SUITE 700 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-9132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427252378 | Arsalla Islam | Surgery | 4312 Heritage Trace Pkwy, Ste 704, Fort Worth, TX 76244-9132 | 2007-06-13 |
| 1770942773 | North Texas Kidney Disease Associates | Internal Medicine | 4312 Heritage Trace Pkwy, Suite 708, Fort Worth, TX 76244 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578929147 | Michelle Summerall | Nurse Practitioner | 1650 South Beach, Fort Worth, TX 76104 | 2016-01-12 |
| 1093734535 | Carla K Morrow | Nurse Practitioner | 622 Hemphill St, Fort Worth, TX 76104-3179 | 2006-07-18 |
| 1326030719 | Janice Maria Collins | Nurse Practitioner | 2900 Se Loop 820, Fort Worth, TX 76140-1013 | 2005-08-22 |
| 1528676400 | Kymberly Anett O'neal | Nurse Practitioner | 2900 Se Loop 820, Fort Worth, TX 76140-1013 | 2020-07-16 |
| 1073082533 | Abiena Cash | Nurse Practitioner | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2018-11-14 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1235581372 | Sarah Elizabeth Clifford | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2016-07-12 |
| 1588076483 | Ann Palagi-pate | Nurse Practitioner | 1201 S Main St, Fort Worth, TX 76104-4804 | 2014-05-27 |
| 1508290057 | Carol Ann May | Nurse Practitioner | 855 Montgomery St, Dept of Ob/gyn, Fort Worth, TX 76107-2553 | 2013-09-02 |
| 1164666517 | Dora Linda Bradford | Nurse Practitioner | 2106 N Main St, Fort Worth, TX 76164-8511 | 2009-04-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on MRS. ANGELA MARDINE GEORGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.