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NPI Code Detail

MEDICARE: BRENDA MANGAR FNP-C

MEDICARE: BRENDA MANGAR FNP-C
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
1363LF0000XFamily Nurse Practitioner1182609TX

General Provider Information

NPI Number : 1780184648
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MANGAR FNP-C
Provider Business Mailing Address
First Line : 9825 EAGLE DR
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-9847
Country : US
Telephone Number : 281-576-0670
Fax Number :
Provider Business Practice Location Address
First Line : 9825 EAGLE DR
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-9847
Country : US
Telephone Number : 281-576-0670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2018
Last Update Date : 12/26/2024

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Directions to “ BRENDA MANGAR FNP-C” Practice Location

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