MR. PAUL DEBA MANGO LVN , CPR
NPI 1124519046
Licensed Vocational Nurse in Dallas, TX

Active since May 25, 2018
14100 MONTFORT DR APT 1154, DALLAS, TX 75254(469) 324-6221 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Paul Deba Mango Lvn , Cpr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL DEBA MANGO LVN , CPR (NPI 1124519046) is an individual licensed vocational nurse in Dallas, Texas, licensed in Texas (343027) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1124519046
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameMR. PAUL DEBA MANGOCredential: LVN , CPR
Location Address14100 MONTFORT DR APT 1154Dallas, TX 75254-3073
Mailing Address14100 Montfort Dr Apt 1154Dallas, TX 75254-3073 · (469) 324-6221
Sole ProprietorNo
Enumeration DateMay 25, 2018
NPI 1124519046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in TX · 343027
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

14100 MONTFORT DR APT 1154, Dallas, TX 75254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124519046, enumerated as an "individual" on May 25, 2018.

The provider is located at 14100 MONTFORT DR APT 1154 DALLAS, TX 75254 and the phone number is (469) 324-6221.

Licensed Vocational Nurse with taxonomy code 164X00000X.