Individual
DR. VIVEK MANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 GASLIGHT BLVD STE A, LUFKIN, TX 75904-3187
(936) 639-0988
(936) 639-0991
Mailing address
710 GASLIGHT BLVD STE A, LUFKIN, TX 75904-3187
(936) 639-0988
(936) 639-0991
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
K2237
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
K2237
TX
207RI0011X
Interventional Cardiology Physician
K2237
TX
207UN0901X
Nuclear Cardiology Physician
K2237
TX
Other
Enumeration date
08/25/2006
Last updated
07/21/2022
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