OrganizationActive
290 Mangum Healthcare LLC
NPI 1164726956 · Adult Medicine Physician · Houston, TX
Provider details
- NPI number
- 1164726956
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tabare Tabar, Manager
- License
- PA01537 (TX)
Practice location
5005 W 34th St
Suite 102c
Houston, TX 77092-4200
Phone: (713) 682-2212
Fax: (713) 682-9997
Mailing address
5005 W 34th St
Houston, TX 77092-4200
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.