Mangione, John Stewart

Mangione, John Stewart is an individual health care provider with primary practice located at 4106 Medical Pkwy , Austin TX 78756-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mangione, John Stewart can be contacted via phone (512) 418-1979.

Contact Information

Primary practice address
4106 Medical Pkwy Austin TX 78756-3722
Fax: (512) 418-1943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X F9769 Texas

Profile Details

NPI number 1437195724
LBN Legal business name Mangione, John Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 20th, 2018 - about 6 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 1437195724 NPPES
Texas MEDICAID 110164404

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