Individual
TANISHA MANGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
14090 SOUTHWEST FWY STE 300, SUGAR LAND, TX 77478-3679
(281) 524-8902
(281) 805-1386
Mailing address
12202 QUIET MEADOW CT, MEADOWS PLACE, TX 77477-2258
(832) 334-8427
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
709892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215538407
—
TX
Enumeration date
07/16/2010
Last updated
07/11/2025
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