person
Rafael A Mangual, MD
General Practice Physician in Laredo, Texas
NPI 1821070194

Rafael A Mangual is a General Practice Physician based in Laredo, TX. Rafael A Mangual practices in Laredo, TX and has the professional credentials of MD. The NPI Number for Rafael A Mangual is 1821070194 and holds a License No. L0395 (Texas).

The current practice location address for Rafael A Mangual is 1515 Pappas St, Laredo, TX and can be reached out via phone at 956-795-8100 and via fax at 956-718-6294.

Location: 1515 Pappas St, Laredo, TX, 78041-1705
person
Provider Profile Details
NPI Number
1821070194
Provider Name
Rafael A Mangual
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1515 Pappas St, Laredo, TX, 78041-1705
Phone Number
956-795-8100
Fax Number
956-718-6294
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046869603 05 TX
0010HX 01 TX BLUE CROSS BLUE SHIELD OF
08019173 01 TX RAILROAD MEDICARE
H27087 01 MO MERCY HEALTH PLANS
037596602 05 TX
institution
Provider Business Practice Location Address Details
Address
1515 Pappas St
City
State
Zip
78041-1705
Phone Number
956-795-8100
Fax Number
956-718-6294
person
Provider Business Mailing Address Details
Address
1515 Pappas St
City
State
Zip
78041-1705
Phone Number
956-795-8100
Fax Number
956-718-6294
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
L0395 (Texas)
Definition
Definition to come...
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