Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

290 Mangum Healthcare LLC

Organization Adult Medicine Physician · NPI 1164726956

290 Mangum Healthcare LLC is an Adult Medicine Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5005 W 34th St Ste 102C
Houston, TX 77092-4200
Phone: (713) 682-2212
Fax: (713) 682-9997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence PA01537 (TX)

Record details

NPI number1164726956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabare Tabar — Manager · (713) 682-2212
NPI enumeratedJanuary 7, 2011
Last updated in NPPESJanuary 7, 2011
Mailing address5005 W 34th St, Suite 102c, Houston, TX 77092-4200

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