Individual
ANGELICA MANCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 N STANTON ST, EL PASO, TX 79902-2511
(915) 271-4571
Mailing address
MCHE/ME, 3551 ROGER BROOKE DRIVE, JBSA FORT SAM HOUSTON, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R9810
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL.0009407
CO
Other
Enumeration date
04/17/2014
Last updated
06/02/2023
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