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General NPI Number Information
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NPI Number | 1760432959
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Entity Type | Individual
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Provider Name | H. LANCE MANDELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 4800 NE STALLINGS DR STE 1500
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1207
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Country | US
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Telephone | 936-800-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | H9543
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License Number State | TX
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