Provider Demographics
NPI:1447337043
Name:BARNES FILZEN, ANGELA F (DDS)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:F
Last Name:BARNES FILZEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 HEIGHTS BLVD
Mailing Address - Street 2:GOOD NEIGHBOR HEALTHCARE CENTER
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-3729
Mailing Address - Country:US
Mailing Address - Phone:713-387-7134
Mailing Address - Fax:713-529-2996
Practice Address - Street 1:190 HEIGHTS BLVD
Practice Address - Street 2:GOOD NEIGHBOR HEALTHCARE CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-3729
Practice Address - Country:US
Practice Address - Phone:713-387-7134
Practice Address - Fax:713-529-2996
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB106002OtherMEDICARE NUMBER