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Angela Theobald is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Angela Theobald practices with Physician Associates Of Southwest Dallas.
Registry record (NPPES)
NPI
1215822291
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Address on file
122 W Colorado Blvd Dallas, TX 75208-2382 (214) 947-6700
Enumerated
Jun 11, 2025
Record last updated
Oct 2, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
122 W Colorado Blvd
Dallas , TX 75208
(214) 947-6700
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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