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: July 19, 2026.

  • Organization
  • Family Medicine
  • Adult Medicine

About 290 MANGUM HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for 290 Mangum Healthcare Llc, a primary care provider established in Houston, Texas operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1164726956 assigned on January 2011. The practitioner's primary taxonomy code is 207QA0505X with license number PA01537 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. 290 Mangum Healthcare Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Tabare D Tabar P A (Manager)

NPI
1164726956 Verify this NPI
Provider Name
290 MANGUM HEALTHCARE LLC
Entity Type
Organization
Location Address
5005 W 34TH ST SUITE 102C HOUSTON, TX 77092
Location Phone
(713) 682-2212
Location Fax
(713) 682-9997
Mailing Address
5005 W 34TH ST SUITE 102C HOUSTON, TX 77092
Mailing Phone
(713) 682-2212
Mailing Fax
(713) 682-9997
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2011
Last Update Date
01-07-2011
Code Navigator

A primary care provider (PCP) like 290 Mangum Healthcare Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
PA01537
License State
TX
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TABARE D TABAR P A

Authorized Official Title
MANAGER
Authorized Official Phone
(713) 682-2212

Reviews for 290 MANGUM HEALTHCARE LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
5005 W 34TH ST, SUITE 204-A
HOUSTON, TX 77092
Chiropractor
5005 W 34TH ST, SUITE 204A
HOUSTON, TX 77092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164726956, enumerated as an "organization" on January 07, 2011.

The provider is located at 5005 W 34TH ST SUITE 102C HOUSTON, TX 77092 and the phone number is (713) 682-2212.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.