MEDICARE: H. LANCE MANDELL M.D.

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	207RH0000X	Hematology (Internal Medicine) Physician	H9543	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760432959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	H. LANCE MANDELL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 NE STALLINGS DR STE 1500
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1207
Country	:	US
Telephone Number	:	936-800-1700
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	06/16/2026

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Directions to “ H. LANCE MANDELL M.D.” Practice Location

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