Individual
MARY ALPHA BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6119 KNOLLWEST DR, HOUSTON, TX 77072-1021
(281) 513-0068
Mailing address
6119 KNOLLWEST DR, HOUSTON, TX 77072-1021
(281) 513-0068
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
801647240002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648953782
SECRETARY OF STATE
TX
Enumeration date
04/13/2018
Last updated
12/08/2025
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