NPI Record of EARL LEWIS MANGIN JR. MD NPI 1003874371

Internal Medicine (Cardiovascular Disease) in Houston, TX

Complete NPI Record


Field Name Value Definition
NPI1003874371National Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Entity type code (type of health care provider assigned an NPI).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameMANGINProvider last name.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameEARLProvider first name.
The first name of the provider, if the provider is an individual.
Provider Middle NameLEWISProvider middle name.
The middle name of the provider, if the provider is an individual.
Provider Name Suffix TextJR.Provider name suffix text.
The name suffix of the provider if the provider is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V.
Provider Credential TextMDProvider credential text.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address6400 FANNIN STProvider first line mailing address.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing AddressSUITE 3000Provider second line mailing address.
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City NameHOUSTONProvider mailing address city name.
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameTXProvider mailing address State name.
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code770301521Provider mailing address postal code.
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USProvider mailing address country code.
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number7137900841Provider mailing address telephone number.
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number7137909663Provider mailing address fax number.
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address6400 FANNIN STProvider first line location address.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 3000Provider second line location address.
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHOUSTONProvider location address city name.
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTXProvider location address State code.
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code770301521Provider location address postal code.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USProvider location address country code.
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number7137900841Provider location address telephone number.
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7137909663Provider location address fax number.
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date5/3/2006Provider enumeration date.
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date10/13/2015Last update date.
The date that a record was last updated or changed.
Provider Gender CodeMProvider gender code.
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1207RC0000XProvider taxonomy code.
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1H0598Provider license number.
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1TXProvider license number State code.
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1Y
Other Provider Identifier 1F26648Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 102Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1TX
Other Provider Identifier 2045641007Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 205Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2TX
Other Provider Identifier 3H0598Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 301Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3TX
Other Provider Identifier Issuer 3STATE OF TEXAS LICENSE
Other Provider Identifier 4060022975Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 408Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 4TX
Other Provider Identifier 58EZ812Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 501Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 5TX
Other Provider Identifier Issuer 5BCBS OF TX
Other Provider Identifier 6299796YK1POther provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 608Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 6TX
Other Provider Identifier 7299796YLAAOther provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 708Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 7TX
Other Provider Identifier 8875531Other provider identifier.
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 804Other provider identifier type code.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 8TX
Is Sole ProprietorNIs Sole Proprietor.
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No