290 MANGUM HEALTHCARE LLC
Organization (NPI-2)
Active
Family Medicine, Adult Medicine
Provider Information
- NPI Number
1164726956- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5005 W 34TH ST SUITE 102C, HOUSTON, TX, 770924200
- Phone
- (713) 682-2212
- Fax
- (713) 682-9997
Specialties & Taxonomies
Family Medicine, Adult Medicine
Primary License: TX #PA01537