OrganizationActive
290 Mangum Healthcare LLC
NPI 1164726956 · Adult Medicine Physician · Houston, TX
290 Mangum Healthcare LLC is a Adult Medicine Physician organization in Houston, TX (NPI 1164726956).
Provider details
- NPI number
- 1164726956
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tabare Tabar, Manager(713) 682-2212
- License
- PA01537 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5005 W 34th St
Suite 102c
Houston, TX 77092-4200
Phone: (713) 682-2212
Fax: (713) 682-9997
Street-level locationGet directions
Mailing address
5005 W 34th St
Houston, TX 77092-4200
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Frequently asked questions
- What is 290 Mangum Healthcare LLC's NPI number?
- 290 Mangum Healthcare LLC's National Provider Identifier (NPI) is 1164726956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 290 Mangum Healthcare LLC?
- 290 Mangum Healthcare LLC is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 290 Mangum Healthcare LLC located?
- 290 Mangum Healthcare LLC's practice location on file with NPPES is 5005 W 34th St, Houston, TX 77092-4200.
- What is 290 Mangum Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for 290 Mangum Healthcare LLC is (713) 682-2212.
- Who is the authorized official for 290 Mangum Healthcare LLC?
- The authorized official listed on 290 Mangum Healthcare LLC's NPPES record is Tabare Tabar, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 290 Mangum Healthcare LLC's NPI active?
- Yes — 290 Mangum Healthcare LLC's NPI (1164726956) is active in the NPPES registry as of the last update on 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.