290 MANGUM HEALTHCARE LLC
Osteopathic Medicine at 34 St, Houston, TX

License number
Texas PA01537
Category
Osteopathic Medicine
Type
Adult Medicine
Owner
Name: MR. TABARE D TABAR P A
Title: MANAGER
Phone: (713) 682-2212
Address
Address
5005 W 34Th St SUITE 102C, Houston, TX 77092
National Provider ID: 1164726956
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 290 MANGUM HEALTHCARE LLC at bizstanding.com

290 MANGUM HEALTHCARE, LLC

5005 W 34 St STE 102C, Houston, TX 77092

Status:
Inactive
Doing business as:
290 Mangum Healthcare, LLC
Registration:
Dec 16, 2010
State ID:
0801356467
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Joann Salinas Manager, inactive,Luis E. Zepeda Manager, inactive
Agent:
Tabare D. Tabar,5005 W.34 St STE 102 C, Houston, TX 77092 (Physical)
TIN:
32043216020

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