Provider Demographics
NPI:1902908155
Name:KENG, ANGELINA L (DC)
Entity type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:L
Last Name:KENG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 CENTER
Mailing Address - Street 2:STE B
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536
Mailing Address - Country:US
Mailing Address - Phone:281-542-0300
Mailing Address - Fax:281-542-0464
Practice Address - Street 1:4418 CENTER
Practice Address - Street 2:STE B
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536
Practice Address - Country:US
Practice Address - Phone:281-542-0300
Practice Address - Fax:281-542-0464
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82420YOtherBCBS
TX605718Medicare ID - Type Unspecified
TX82420YOtherBCBS