Mangual, Rafael A

Mangual, Rafael A is an individual health care provider with primary practice located at 1515 Pappas St , Laredo TX 78041-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mangual, Rafael A can be contacted via phone (956) 795-8100.

Contact Information

Primary practice address
1515 Pappas St Laredo TX 78041-1705
Phone: (956) 795-8100
Fax: (956) 718-6294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X L0395 Texas

Profile Details

NPI number 1821070194
LBN Legal business name Mangual, Rafael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Dec 3rd, 2015 - about 11 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 1821070194 NPPES
Texas MEDICAID 046869603
Texas Other 0010HX
Texas Other 08019173
Texas Other H27087
Texas MEDICAID 037596602

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