Mangwiro, Audrey N

Mangwiro, Audrey N is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mangwiro, Audrey N can be contacted via phone (903) 315-1488.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601-5580
Phone: (903) 315-1488
Fax: (903) 315-1656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M4318 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15590R Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 74111 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M4318 Texas

Profile Details

NPI number 1346265162
LBN Legal business name Mangwiro, Audrey N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 16th, 2023 - about last year

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 1346265162 NPPES
Louisiana MEDICAID 1476510

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