Tanisha Lavelle Mangon is a Katy, Texas based nurse practitioner with 15 years of experience in Adult Health. She completed her graduation in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tanisha Lavelle Mangon is 709892 for Adult Health in Texas. Her current practice location is 24275 Katy Fwy Ste 400, Katy. Patients can reach her at 346-387-7171 or can fax her at 844-703-5305. Tanisha Lavelle Mangon is MSN, NP-C with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1770896953. Tanisha Lavelle Mangon can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Tanisha Lavelle Mangon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6901098664
Enrollment ID:
I20101013000470
NPI Number:
1770896953
NPI Enumeration Date:
16 Jul, 2010
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanisha Lavelle Mangon are as mentioned below.
License Number
Specialization
State
Status
709892
Adult Health
Texas
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Tanisha Lavelle Mangon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Collaborative Geriatrics Inc (5193827046)
30
Other Medical Identifiers:
Other legacy medical identifiers associated with Tanisha Lavelle Mangon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
215538407
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tanisha Lavelle Mangon 24275 Katy Fwy Ste 400, Katy, Texas
Zip:
77494-7267
Phone Number:
346-387-7171
Fax Number:
844-703-5305
Patients can reach Tanisha Lavelle Mangon at 24275 Katy Fwy Ste 400, Katy, Texas or can call to book an appointment on 346-387-7171.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.