Provider Demographics
NPI:1699584516
Name:MOTTON, ANGELA
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:MOTTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 CYPRESS CREEK PKWY STE 322
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3547
Mailing Address - Country:US
Mailing Address - Phone:832-620-3229
Mailing Address - Fax:
Practice Address - Street 1:3920 CYPRESS CREEK PKWY STE 322
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3547
Practice Address - Country:US
Practice Address - Phone:832-620-3229
Practice Address - Fax:832-201-6933
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor