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ANGEL PEDIATRICS P.A.
NPI 1205071206
Pediatrics in Allen, TX

Active since December 05, 2008CLIA 45D1094112 · Waiver
717 S GREENVILLE AVE, SUITE 104, ALLEN, TX 75002(972) 396-1900(972) 591-4589 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angel Pediatrics P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL PEDIATRICS P.A. (NPI 1205071206) is a healthcare organization registered as a pediatrics in Allen, Texas and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Christine Loya, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205071206
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANGEL PEDIATRICS P.A.
Location Address717 S GREENVILLE AVE, SUITE 104Allen, TX 75002-3317
Mailing Address717 S Greenville Ave, Suite 104Allen, TX 75002-3317 · (972) 396-1900 · Fax (972) 591-4589
Phone(972) 396-1900
Fax(972) 591-4589
Organization SubpartNo
Authorized OfficialChristine LoyaOffice Manager · (214) 616-6783
Enumeration DateDecember 5, 2008
Last NPPES UpdateJune 21, 2018
✔ NPI 1205071206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L8604
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
717 S GREENVILLE AVE, Allen, TX 75002
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Other Identifiers 4

OtherL8604TX · License
Other200601701TX · Medicaid Tx Individual Tpi
Other200598501TX · Medicaid Tpi - Group
Other200598502TX · Medicaid Tpi- Group Health Steps

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1094112

Angel Pediatrics, PA · Allen, TX
Active · expires Jan 8, 2027
CLIA Number45D1094112
Laboratory TypeOther
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorAngela E. Asom, MD
Laboratory Phone(214) 496-0267
Laboratory LocationAngel Pediatrics, PA717 S Greenville Ave, Suite 104, Allen, TX 75002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYNASTY DENTAL
Clinic/Center (Dental)
717 S GREENVILLE AVE, #114
ALLEN, TX 75002
Collin County (214) 547-8628
ANGELA E ASOM MD
Pediatrics
717 S GREENVILLE AVE, STE 104
ALLEN, TX 75002
Collin County (972) 396-1900
DR. JANET DIEM TRAN D.D.S.
Dentist (General Practice)
717 S GREENVILLE AVE, SUITE 114
ALLEN, TX 75002
Collin County (214) 547-8628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Pediatrics P.A.'s NPI number?

The NPI number for Angel Pediatrics P.A. is 1205071206. It was assigned to this organization in the NPPES registry on December 5, 2008.

Where is Angel Pediatrics P.A. located?

Angel Pediatrics P.A. is located at 717 S Greenville Ave Suite 104, Allen, TX 75002. The listed phone number is (972) 396-1900.

What is Angel Pediatrics P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Angel Pediatrics P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1094112) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angel Pediatrics P.A. was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.