Individual
MRS. CRISSY MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1601 W LOUISIANA AVE, MIDLAND, TX 79701-6049
(210) 232-6050
Mailing address
1601 W LOUISIANA AVE, MIDLAND, TX 79701-6049
(210) 232-6050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1208015
TX
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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