Organization
PANNABEN H NANGHA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANNABEN H NANGHA MD (PRESIDENT)
(817) 627-7127
Entity
Organization
Contact information
Practice address
221 REGENCY PKWY, SUITE 125, MANSFIELD, TX 76063-5165
(817) 627-7127
(817) 453-8091
Mailing address
221 REGENCY PKWY, SUITE 125, MANSFIELD, TX 76063-5165
(817) 477-5884
(817) 453-8091
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N8959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309379101
—
TX
Enumeration date
05/31/2012
Last updated
04/02/2025
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