Individual
DR. TONY MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5005 S COOPER ST STE 250, ARLINGTON, TX 76017-5996
(866) 367-8768
(817) 541-9540
Mailing address
5001 S COOPER ST STE 201, ARLINGTON, TX 76017-5993
(866) 367-8768
(817) 541-9555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
P0252
TX
208800000X
Urology Physician
Primary
P0252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284460703
—
TX
01
—
284460704
MEDICAID OTHER
TX
05
—
284460705
—
TX
Enumeration date
04/10/2007
Last updated
08/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us