Provider Demographics
NPI:1932456308
Name:SAUNDERS, ANGELA RIVERS (DO)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:RIVERS
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2213
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:130 JIMMA DR UNIT A
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-1331
Practice Address - Country:US
Practice Address - Phone:817-599-6222
Practice Address - Fax:817-599-8151
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A17392207RG0100X, 207RG0100X
TXQ2384207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology