Individual
KATE LOUISE MORENG MANGONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-7759
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7759
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Q4192
TX
2085R0202X
Diagnostic Radiology Physician
Primary
Q4192
TX
Other
Enumeration date
08/07/2009
Last updated
03/10/2026
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