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Individual

ASHLEIGH MANGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4015 INTERSTATE 45 N SUITE 330 STE 330, CONROE, TX 77304-3249
(936) 539-4700
Mailing address
10740 N GESSNER RD, HOUSTON, TX 77064-1240
(281) 897-0416

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP134559
TX
363LF0000X
Family Nurse Practitioner
Primary
AP134559
TX

Other

Enumeration date
10/02/2017
Last updated
06/22/2023
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