person
Mr. Gregory Lee Mangum, DPM
Foot & Ankle Surgery Podiatrist in Houston, Texas
NPI 1336239359

Gregory Lee Mangum is a Foot & Ankle Surgery Podiatrist based in Houston, TX and is specialized in Foot & Ankle Surgery. Gregory Lee Mangum practices in Houston, TX and has the professional credentials of DPM. The NPI Number for Gregory Lee Mangum is 1336239359 and holds a License No. 0607 (Texas).

The current practice location address for Gregory Lee Mangum is 4868 Beechnut St, Houston, TX and can be reached out via phone at 713-664-6677 and via fax at 713-664-7096.

Location: 4868 Beechnut St, Houston, TX, 77096
person
Provider Profile Details
NPI Number
1336239359
Provider Name
Gregory Lee Mangum
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4868 Beechnut St, Houston, TX, 77096
Phone Number
713-664-6677
Fax Number
713-664-7096
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0607 01 TX LISCENCE
J0084884 01 TX DPS
121579003 05 TX
institution
Provider Business Practice Location Address Details
Address
4868 Beechnut St
City
State
Zip
77096
Phone Number
713-664-6677
Fax Number
713-664-7096
person
Provider Business Mailing Address Details
Address
4868 Beechnut St
City
State
Zip
77096
Phone Number
713-664-6677
Fax Number
713-664-7096
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0607 (Texas)
Definition
Definition to come...
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