Susan P Mangum (NPI# 1962657486, PAC ID# 7214114792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962657486 |
| PAC ID by PECOS | 7214114792 |
| Professional Enrollment ID | I20110609000464 |
| Full Name | Susan P Mangum |
| Organization Legal Name | EDGE-MD HOLDING PLLC |
| Address |
6018 W Ave 2 Medico Md Medical Dental Castle Hills TX 78213-1672 |
| Phone Number | 2109798478 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719269661 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6018 W Ave, 2 Medico Md Medical Dental, Castle Hills, TX 78213-1672 | 2109798478 | EDGE-MD HOLDING PLLC |
| 7010 S Zarzamora St, 113 Medico Md Medical Dental, San Antonio, TX 78224-1148 | 2109210603 | EDGE-MD HOLDING PLLC |
| Organization Legal Name | EDGE-MD HOLDING PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne M Gasigwa | Nurse Practitioner | Edge-md Holding Pllc | 6302 Meadowbrook Dr, Suite 112, Fort Worth, TX 76112-5163 |
| Kaitleen Thuynhan Hoang | Nurse Practitioner | Edge-md Holding Pllc | 1200 W Walnut Hill Ln, 3950 Medico Md Medical Dental, Irving, TX 75038-3459 |
| Crisanto G Dimafelix | Emergency Medicine | Edge-md Holding Pllc | 322 S Hampton Rd, Medico Md Medical Dental, Dallas, TX 75208-5617 |
| Nicolas Aguilar | Physician Assistant | Edge-md Holding Pllc | 1200 W Walnut Hill Ln, 3950 Medico Md Medical Dental, Irving, TX 75038-3459 |
| Eberechi Ure Agbara | Nurse Practitioner | Edge-md Holding Pllc | 322 S Hampton Rd, Medico Md Medical Dental, Dallas, TX 75208-5617 |
| Nadia Nicole Douglas | Nurse Practitioner | Edge-md Holding Pllc | 1200 W Walnut Hill Ln, 3950 Medico Md Medical Dental, Irving, TX 75038-3459 |
| Craig E Zahn | Physician Assistant | Edge-md Holding Pllc | 1200 W Walnut Hill Ln, 3950 Medico Md Medical Dental, Irving, TX 75038-3459 |
| Street Address |
6018 W AVE 2 MEDICO MD MEDICAL DENTAL |
| City | CASTLE HILLS |
| State | TX |
| Zip | 78213-1672 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Calandra | Chiropractic | 11230 W Ave, Suite 2207, San Antonio, TX 78213-1360 | |
| Daniel Jeffrey Murray Sr. | Chiropractic | 1840 Lockhill Selma Rd, Suite 101, San Antonio, TX 78213-1550 | |
| Amie Elizabeth Kuykendall | Clinical Social Worker | 1846 Lockhill Selma Rd, Suite 106, San Antonio, TX 78213-1551 | |
| Keeli Stumbo | Obstetrics/gynecology | 1854 Lockhill Selma Rd, 102 True Connections Health Services, Castle Hills, TX 78213-1557 | |
| Stephanie Triana | Psychologist, Clinical | 1848 Lockhill Selma Rd, Suite 102 The Woods of Castle Hills, San Antonio, TX 78213-1566 | |
| Raul A Trevino | Optometry | 2210 Nw Military Hwy, San Antonio, TX 78213-1815 | |
| Michael Landin | Physical Therapy | Catalyst Physical Therapy, P.l.l.c | 2210 Nw Military Hwy, Suite 101, San Antonio, TX 78213-1815 |
| Roger Allen Velasquez | Ophthalmology | 6810 W Ave, Unit A, San Antonio, TX 78213-1817 | |
| Kathryn L Marranzino | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 6915 W Ave, Castle Hills, TX 78213-1822 |
| Jennifer Curtis | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 6915 W Ave, Castle Hills, TX 78213-1822 |
| Find all physicians in zip 78213 | |||
| City | CASTLE HILLS |
| Zip Code | 78213 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CASTLE HILLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan P Mangum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.