Provider Demographics
NPI:1053874040
Name:FORTE, ANGELA HENSLEE (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:HENSLEE
Last Name:FORTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 MIMOSA DR.
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454
Mailing Address - Country:US
Mailing Address - Phone:214-551-4177
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LANE
Practice Address - Street 2:D-570
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-566-4660
Practice Address - Fax:972-566-6413
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141075363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology