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

MS. Manga Telidevara, NP

Individual provider Family Nurse Practitioner · NPI 1497474373

MS. Manga Telidevara, NP is a Nurse Practitioner in Montgomery, Texas. Qualified in 2022, 4 years ago. Offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

615 Worsham St
Montgomery, TX 77316-4497
Phone: (281) 650-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1090732 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1090732 (TX)

Record details

NPI number1497474373
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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