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

Mandy Junita Antono

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679447650

Mandy Junita Antono is a Physical Medicine & Rehabilitation Physician in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

8830 Long Point Rd Ste 502
Houston, TX 77055-3026
Phone: (832) 849-0909
Fax: (832) 849-0910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PA19539 (TX)

Record details

NPI number1679447650
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address8830 Long Point Rd Ste 502, Houston, TX 77055-3026

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