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
Update your record
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