Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel Shibu, PA-C

Individual provider Physician Assistant · NPI 1073494191

Angel Shibu, PA-C is a Physician Assistant in Desoto, Texas. Graduated from University of Texas Medical Branch at Galveston in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2701 Prince George Ave Ste 100
Desoto, TX 75115-2087
Phone: (972) 634-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19530 (TX)

Record details

NPI number1073494191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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