Mammen, Tony

Mammen, Tony is an individual health care provider with primary practice located at 5005 S Cooper St Ste 250 , Arlington TX 76017-5996. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mammen, Tony can be contacted via phone (866) 367-8768.

Contact Information

Primary practice address
5005 S Cooper St Ste 250 Arlington TX 76017-5996
Phone: (866) 367-8768
Fax: (817) 541-9540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X P0252 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X P0252 Texas

Profile Details

NPI number 1194948356
LBN Legal business name Mammen, Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194948356 NPPES
Texas MEDICAID 284460705
Texas MEDICAID 284460703
Texas Other 284460704

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