MEDICARE: CATHERINE NANYONGO MANGA FNP.BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP125898	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376942391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE NANYONGO MANGA FNP.BC

Provider Business Mailing Address
First Line	:	25711 CANYON CROSSING DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5291
Country	:	US
Telephone Number	:	832-439-7386
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 DE LEE ST STE 200
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2815
Country	:	US
Telephone Number	:	979-431-5800
Fax Number	:	979-703-1361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	03/27/2026

Similar Medicare Providers

1700880051 — MICHAEL F. RUGGIERO D.O.
Practice Location Address:

2310 DE LEE ST STE 200
BRYAN, TX
77802-2815

Practice Phone: 979-774-0866
Practice Fax: 979-774-0937

1548344401 — THE INTERNAL MEDICINE CENTER, P.A.
Practice Location Address:

2310 DE LEE ST
BRYAN, TX
77802-2815

Practice Phone: 979-774-0400
Practice Fax: 979-774-8908

1376708222 — DR. CHIZOBA C. OBI MD
Practice Location Address:

2310 DE LEE ST STE 100
BRYAN, TX
77802-2815

Practice Phone: 979-485-9496
Practice Fax: 979-485-9497

1740434414 — LOYD DOUGLAS ROWE JR. RPH
Practice Location Address:

2300 DE LEE ST
BRYAN, TX
77802-2815

Practice Phone: 979-776-6800
Practice Fax:

1558743609 — AGGIELAND ADHD CENTER
Practice Location Address:

2310 DE LEE ST STE 200
BRYAN, TX
77802-2815

Practice Phone: 979-774-0866
Practice Fax:

1487133120 — BRAZOS HYPERTENSION AND KIDNEY CARE PLLC
Practice Location Address:

2310 DE LEE ST STE 100
BRYAN, TX
77802-2815

Practice Phone: 979-485-9496
Practice Fax: 979-485-9497

Directions to “ CATHERINE NANYONGO MANGA FNP.BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.