MR. GREGORY LEE MANGUM (NPI# 1336239359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336239359 |
| Entity Type | Individual |
| Full Name | MR. GREGORY LEE MANGUM |
| Credential | DPM |
| Practice Address |
4868 Beechnut St Houston TX 77096 |
| Practice Telephone | 7136646677 |
| Practice Fax Number | 7136647096 |
| Mailing Telephone | 7136646677 |
| Mailing Fax Number | 7136647096 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0607 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | BM3616894 | 01 |
| TX | 121579003 | 05 | |
| TX | LISCENCE | 0607 | 01 |
| TX | DPS | J0084884 | 01 |
| Street Address |
4868 BEECHNUT ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680420 | Sanitas Medical Center of Texas Pa | Family Medicine | 10101 S Post Rd, Houston, TX 77096 | 2020-02-07 |
| 1679113815 | Ashley Tolbert | Nurse Practitioner | 10101 S Post Oak Rd, Houston, TX 77096 | 2020-01-15 |
| 1992223564 | Elizabeth Olufuwa | Pharmacist | 9555 South Post Oak Road, Houston, TX 77096 | 2017-09-05 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1811388754 | Dr G Internal Medicine Pa | Clinic/Center | 5895 S Braeswood Blvd, Houston, TX 77096 | 2015-02-13 |
| 1386044287 | Peoples Champ Physical Therapy LLC | Clinic/Center | 8715 South Loop West, Suite E, Houston, TX 77096 | 2014-08-27 |
| 1821403833 | Vicky Chi Vu | Optometrist | 238 Meyerland Plaza, Houston, TX 77096 | 2014-06-27 |
| 1013327279 | Angela Patrick | Pharmacist | 10707 Albury Dr., Houston, TX 77096 | 2014-04-28 |
| 1568702470 | Ks Pharm LLC | Pharmacy | 560 Meyerland Plaza, Houston, TX 77096 | 2013-03-01 |
| 1295081057 | Kathleen Lawson Dreher | Dentist | 4830 Imogene, Houston, TX 77096 | 2012-07-31 |
| Find all providers in zip 77096 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| 1487016655 | Abdul-latif Nurudeen | Podiatrist | 9800 Centre Pkwy Ste 550, Houston, TX 77036-8262 | 2016-03-25 |
| 1861832818 | Karl D Johnson | Podiatrist | 8181 Fannin St Apt 2517, Houston, TX 77054-2991 | 2013-07-04 |
| 1255688255 | Manish K Patel | Podiatrist | 12121 Richmond Ave Ste 415, Houston, TX 77082-2439 | 2012-08-08 |
| 1023365244 | Hadley Mcarthur | Podiatrist | 12121 Richmond Ave Ste 417, Houston, TX 77082-2439 | 2012-08-07 |
| 1063768729 | Bright Chen | Podiatrist | 9889 Bellaire Blvd Ste 219a, Houston, TX 77036-3591 | 2012-07-31 |
| 1427297217 | Natalie R Diers | Podiatrist | 603 Wycliffe Dr # B, Houston, TX 77079-3507 | 2009-02-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.