Provider profile · NPI 1164726956

290 Mangum Healthcare Llc

Family Medicine, Adult Medicine · Houston, TX · NPI 1164726956 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Family Medicine, Adult Medicine

Enumerated

Jan 7, 2011

License(s)

PA01537 (TX)

Addresses on file

PurposeAddressCity/StatePhone
MAILING5005 W 34TH ST SUITE 102CHouston, TX 77092-4200713-682-2212
LOCATION5005 W 34TH ST SUITE 102CHouston, TX 77092-4200713-682-2212

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