NPI age
5 years
Enumerated 2021-03-23
● Active
Type 1 · Individual
MR. David Shane Angelo, NP
Angelo is 1 of 48 nurse practitioner providers in Tyler and 1 of 3226 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3226 active nurse practitioner providers in Texas.
NPI age
5 years
≈ at median (6 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Practice location
630 S Fleishel Ave
Tyler, TX 757012041
Mailing address
520 Douglas Blvd
Tyler, TX 757028307
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1N8103 | MEDICARE |
| 05 (TX) | 421635001 |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Tyler in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.