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Organization
LAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC
Active
Organization
LAURELLE FAMILY HEALTH & WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE NANYONGO MANGA DR. (OWNER)
(979) 224-1087
Entity
Organization
Contact information
Practice address
2304 DE LEE ST STE 200, BRYAN, TX 77802-2815
(979) 431-5800
(979) 703-1361
Mailing address
2304 DE LEE ST STE 200, BRYAN, TX 77802-2815
(979) 431-5800
(979) 703-1361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427006801
—
TX
Enumeration date
08/03/2021
Last updated
03/27/2026
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