Rafael A Mangual in Laredo - General Practice

Rafael A Mangual - NPI 1821070194

Rafael A Mangual is a General Practice in Laredo, Texas. Rafael A Mangual practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rafael A Mangual is 1821070194. The last update date is 2015-12-03.

Rafael A Mangual's current location address is 1515 Pappas St, Laredo, Texas. You can contact this provider via phone number 9567958100 and fax number 9567186294. The mailing address for Rafael A Mangual is 1515 Pappas St, Laredo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rafael A Mangual
Address 1515 Pappas St, Laredo, Texas
Phone Number 9567958100
Fax Number 9567186294
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821070194
Provider Enumeration Date 2005-11-14
Last Updated Date 2015-12-03

Provider Mailing Address Detail

Address 1515 Pappas St
City Laredo
State Texas (TX)
Post Code 780411705
Phone Number 9567958100
Fax Number 9567186294

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No L0395
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46869603 TX --
0010HX TX BLUE CROSS BLUE SHIELD OF
8019173 TX RAILROAD MEDICARE
H27087 MO MERCY HEALTH PLANS
37596602 TX --

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FAQs about Rafael A Mangual

Could you please share the complete physical address where Rafael A Mangual is geographically located?

The Rafael A Mangual is physically situated at the following location: 1515 Pappas St, Laredo, TX, 780411705.

What is Rafael A Mangual's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Rafael A Mangual is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

When did Rafael A Mangual receive its 1821070194 assignment?

The Rafael A Mangual was assigned its 1821070194 on 2005-11-14, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1821070194 to Rafael A Mangual?

The Centers for Medicare & Medicaid Services originally issued the 1821070194 to Rafael A Mangual on 2005-11-14.

As of what date were the details pertaining to Rafael A Mangual last refreshed?

The information related to the Rafael A Mangual, including its address, specialty, and other relevant details, was last updated on 2015-12-03.

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