Telidevara, Manga

Telidevara, Manga is an individual health care provider with primary practice located at 615 Worsham St , Montgomery TX 77316-4497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Telidevara, Manga can be contacted via phone (281) 650-0945.

Contact Information

Primary practice address

615 Worsham St Montgomery TX 77316-4497

Phone: (281) 650-0945

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	1090732	Texas

Profile Details

NPI number	1497474373
LBN Legal business name	Telidevara, Manga
Credentials	Nurse Practitioner (NP)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 24th, 2022
Last updated	Aug 24th, 2022 - about 2 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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