- Practice location
- 5005 W 34TH St, Suite 102C, Houston, TX 77092-4200
- Phone
- 713-682-2212
- Fax
- 713-682-9997
- Last updated
- January 7, 2011
290 Mangum Healthcare LLC is a healthcare organization based in Houston, TX. 290 Mangum Healthcare LLC practices in Houston, TX. The NPI Number for 290 Mangum Healthcare LLC is 1164726956 and holds a License No. PA01537 (TX). The current practice location address for 290 Mangum Healthcare LLC is 5005 W 34TH St, Suite 102C, Houston, TX 77092-4200 and can be reached out via phone at 713-682-2212 and via fax at 713-682-9997.
Provider Profile Details
- NPI Number
- 1164726956
- Provider Name
- 290 Mangum Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 5005 W 34TH St, Suite 102C, Houston, TX 77092-4200
- Phone Number
- 713-682-2212
- Fax Number
- 713-682-9997
- Primary Taxonomy
- Family Medicine, Adult Medicine · 207QA0505X
- Organization Subpart
- No
- Authorized Official
- Mr. Tabare D Tabar, P A · Manager · 713-682-2212
- Provider Enumeration Date
- January 7, 2011
- Last Update Date
- January 7, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5005 W 34TH St
Suite 102C
Houston, TX 77092-4200 - City
- Houston
- State
- Texas
- Zip
- 77092-4200
- Phone Number
- 713-682-2212
- Fax Number
- 713-682-9997
Provider Business Mailing Address Details
- Address
- 5005 W 34TH St
Suite 102C
Houston, TX 77092-4200 - City
- Houston
- State
- TX
- Zip
- 77092-4200
- Phone Number
- 713-682-2212
- Fax Number
- 713-682-9997
License Information
- License Number
- PA01537
- License State
- TX
- Taxonomy
- Family Medicine, Adult Medicine · 207QA0505X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 290 Mangum Healthcare LLC?
The NPI number of 290 Mangum Healthcare LLC is 1164726956. It was assigned on January 7, 2011 and is currently active in the NPPES registry.
What is the specialty of 290 Mangum Healthcare LLC?
290 Mangum Healthcare LLC is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X), licensed in TX under license number PA01537.
Where does 290 Mangum Healthcare LLC practice?
The practice location is 5005 W 34TH St, Suite 102C, Houston, TX 77092-4200. The office can be reached at 713-682-2212 (phone) or 713-682-9997 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164726956 directly on the NPPES registry website.