Organization
INJURY ONE OF WICHITA FALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAT E MANGUM (CEO)
(214) 692-6666
Entity
Organization
Contact information
Practice address
2611 PLAZA PKWY, SUITE 302, WICHITA FALLS, TX 76308-3886
(214) 563-5122
(214) 361-1235
Mailing address
5931 DESCO DR, DALLAS, TX 75225-1604
(214) 563-5122
(214) 361-1235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15520
TX
103T00000X
Psychologist
Primary
32981
TX
103T00000X
Psychologist
33427
TX
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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