290 Mangum Healthcare LLC
Family Medicine, Adult Medicine in Houston, Texas
1164726956- 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. The NPI number for 290 Mangum Healthcare LLC is 1164726956 and holds license No. PA01537 (TX). The current practice location address is 5005 W 34TH St, Suite 102C, Houston, TX 77092-4200 and the office can be reached by phone at 713-682-2212 and by fax at 713-682-9997. The NPI was assigned on January 7, 2011 and the record was last updated in NPPES on January 7, 2011.
●Provider Profile Details
- NPI Number
- 1164726956
- Provider Name
- 290 Mangum Healthcare LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Family Medicine, Adult Medicine · 207QA0505X
- Organization Subpart
- No
- Authorized Official
- Mr. Tabare D Tabar, P A · Manager · 713-682-2212
- Enumeration Date
- January 7, 2011
- Last Update Date
- January 7, 2011
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 5005 W 34TH St
Suite 102C
Houston, TX 77092-4200 - City
- Houston
- State
- Texas
- ZIP
- 77092-4200
- Country
- US
- Phone Number
- 713-682-2212
- Fax Number
- 713-682-9997
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine, Adult Medicine 193200000X - Multi-Specialty Group | 207QA0505X | Yes | PA01537 | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Houston →?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) and holds license No. PA01537 (TX).
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 at npiregistry.cms.hhs.gov.