Provider Demographics
NPI:1861436040
Name:BALINGIT, ANGELICA SANDOVAL (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:SANDOVAL
Last Name:BALINGIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 INDIO LN
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4049
Mailing Address - Country:US
Mailing Address - Phone:903-416-6015
Mailing Address - Fax:
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 300
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4589
Practice Address - Country:US
Practice Address - Phone:903-416-6015
Practice Address - Fax:903-416-6132
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBB5224794207R00000X
AK4446207R00000X
TXR7655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKAK4446Medicaid
AKAK4446Medicaid