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Individual

CATHERINE NANYONGO MANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP.BC

Contact information

Practice address
2304 DE LEE ST STE 200, BRYAN, TX 77802-2815
(979) 431-5800
(979) 703-1361
Mailing address
25711 CANYON CROSSING DR, RICHMOND, TX 77406-5291
(832) 439-7386

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125898
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
368372409
TX
Enumeration date
08/14/2014
Last updated
03/27/2026
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