Mangona, Victor Suva-Viola

Mangona, Victor Suva-Viola is an individual health care provider with primary practice located at 1501 W Royal Ln , Irving TX 75063-3213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Mangona, Victor Suva-Viola can be contacted via phone (469) 513-5500.

Contact Information

Primary practice address
1501 W Royal Ln Irving TX 75063-3213
Phone: (469) 513-5500
Fax: (469) 420-9600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301094323 Michigan
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X Q5028 Texas

Profile Details

NPI number 1790910412
LBN Legal business name Mangona, Victor Suva-Viola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated Feb 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790910412 NPPES
Texas MEDICAID 348568201
Texas MEDICAID 348568203
Texas MEDICAID 240726001
Texas MEDICAID 201312910A
Texas MEDICAID 348568202
Texas Other P01667436

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