Mangum, Charles E
Mangum, Charles E is an sole proprietor health care provider with primary practice located at 7501 Lakeview Pkwy Ste 160, Rowlett TX 75088-9322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mangum, Charles E can be contacted via phone (972) 526-0340.Contact Information
Primary practice address
7501 Lakeview Pkwy Ste 160
Rowlett TX 75088-9322
Phone: (972) 526-0340
Fax: (972) 996-1857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | J3349 | Texas |
Profile Details
| NPI number | 1982666210 |
|---|---|
| LBN Legal business name | Mangum, Charles E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Mar 20th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982666210 | NPPES |
| Texas | Other | P00295238 | RAILROAD MEDICARE |
| Texas | Other | 8BX668 | RAILROAD MEDICARE |
| Texas | MEDICAID | 117454204 | RAILROAD MEDICARE |
| Texas | MEDICAID | 117454205 | RAILROAD MEDICARE |
| Texas | Other | 8U7632 | RAILROAD MEDICARE |
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