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290 MANGUM HEALTHCARE LLC
NPI 1164726956
Family Medicine - Adult Medicine in Houston, TX

Active since January 07, 2011
5005 W 34TH ST, SUITE 102C, HOUSTON, TX 77092(713) 682-2212(713) 682-9997 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 290 Mangum Healthcare Llc NPPES

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

290 MANGUM HEALTHCARE LLC (NPI 1164726956) is a healthcare organization registered as an adult medicine in Houston, Texas and active in the NPI registry since January 2011. The organization lists Tabare D Tabar, Manager, as its authorized official.

NPPES Registry Identity

NPI1164726956
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business Name290 MANGUM HEALTHCARE LLC
Location Address5005 W 34TH ST, SUITE 102CHouston, TX 77092-4200
Mailing Address5005 W 34th St, Suite 102cHouston, TX 77092-4200 · (713) 682-2212 · Fax (713) 682-9997
Phone(713) 682-2212
Fax(713) 682-9997
Organization SubpartNo
Authorized OfficialTabare D TabarManager · (713) 682-2212
Enumeration DateJanuary 7, 2011
✔ NPI 1164726956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · PA01537
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5005 W 34TH ST, Houston, TX 77092
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELCOX RETAIL INDUSTRIES INC
Pharmacy (Community/Retail Pharmacy)
5005 W 34TH ST, SUITE 204-A
HOUSTON, TX 77092
Harris County (281) 971-4523
NORTHWEST CLINIC
Chiropractor
5005 W 34TH ST, SUITE 204A
HOUSTON, TX 77092
Harris County (713) 842-7958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 290 Mangum Healthcare LLC's NPI number?

The NPI number for 290 Mangum Healthcare LLC is 1164726956. It was assigned to this organization in the NPPES registry on January 7, 2011.

Where is 290 Mangum Healthcare LLC located?

290 Mangum Healthcare LLC is located at 5005 W 34th St Suite 102C, Houston, TX 77092. The listed phone number is (713) 682-2212.

What is 290 Mangum Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for 290 Mangum Healthcare LLC was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.