Individual
DARRELL MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 N BELT LINE RD, IRVING, TX 75062-7804
(972) 255-7166
(972) 252-8140
Mailing address
3663 BRIARPARK DR, HOUSTON, TX 77042-5205
(713) 268-3630
(623) 869-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23569
TX
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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