Individual
ALYSSA AKOMER MANGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
919 LIBERTY CT, DALLAS, TX 75204-5557
(469) 667-1369
Mailing address
919 LIBERTY CT, DALLAS, TX 75204-5557
(469) 667-1369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1102557
TX
363LF0000X
Family Nurse Practitioner
Primary
1102557
TX
363LF0000X
Family Nurse Practitioner
Primary
F06260457
TX
Other
Enumeration date
05/20/2026
Last updated
08/14/2026
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