ANGELA K WICKSTRUM

FORT WORTH, TX
NPI1912137977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04934)
Enumeration Date2009-07-23
Last Update Date2025-09-18
Business Address
Ms. ANGELA K WICKSTRUM PA-C
4115 E LANCASTER AVE
FORT WORTH, TX 76103-3614
Phone number: 817-369-8526
Mailing Address
Ms. ANGELA K WICKSTRUM PA-C
PO BOX 746079
ATLANTA, GA 30374-6079
Phone number: 773-352-1515