290 Mangum Healthcare Llc

LBN: 290 Mangum Healthcare Llc
290 Mangum Healthcare Llc is an health care organization with primary practice located at 5005 W 34Th St Suite 102C, Houston TX 77092-4200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. 290 Mangum Healthcare Llc can be contacted via phone (713) 682-2212, or through Tabar, Tabare D via phone (713) 682-2212.

Contact Information

Primary practice address
5005 W 34Th St Suite 102C Houston TX 77092-4200
Phone: (713) 682-2212
Fax: (713) 682-9997
Website:
Map and Directions
Authorized official contact:
Name: Tabar, Tabare D Physician Assistant (PA)
Phone: (713) 682-2212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X PA01537 Texas

Profile Details

NPI number 1164726956
LBN Legal business name 290 Mangum Healthcare Llc
DBA Doing business as
Authorized official Tabar, Tabare D Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2011
Last updated Jan 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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