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Organization

VIVEK MANGLA, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RHONDA THOMPSON (OFFICE MGR)
(936) 639-0988
Entity
Organization

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
Primary
K2237
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0023QH
BCBS
TX
Enumeration date
02/20/2008
Last updated
07/21/2022
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