290 MANGUM HEALTHCARE LLC – NPI #1164726956
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

290 MANGUM HEALTHCARE LLC is a provider located in HOUSTON, TX. NPPES has assigned the NPI number 1164726956 to 290 MANGUM HEALTHCARE LLC on January 07, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 290 MANGUM HEALTHCARE LLC below.

NPI Profile for
290 MANGUM HEALTHCARE LLC

NPI Number
1164726956
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
290 MANGUM HEALTHCARE LLC
Primary location
5005 W 34TH ST
SUITE 102C
HOUSTON, TX 77092-4200
Phone: (713) 682-2212 Fax: (713) 682-9997
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TABARE TABAR
MANAGER
Phone: (713) 682-2212
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 TX PA01537

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.