Active NPI
Angela Mancha
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1171045
- Practice address
- 3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404 - Phone
- (210) 585-6682
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1171045 | TX | Primary |
Addresses
Primary practice location
3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404
Mailing address
3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404
Phone (210) 585-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171045 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Nurse Practitioner | Current | Accepting new patients |
| Renaissance Medical Foundation | Current | Accepting new patients | |
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171
1100 E Dove Ave
Ste 400
McAllen, TX 78504
Phone (956) 362-8160
8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
- Surgery Physician
- Sparks, MD
- NPI 1669099321
Nurse Practitioner, TX
-
- Multi-Specialty Clinic/Center
- Edinburg, TX
- NPI 1710600556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1346071107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 TPC PKWY STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592404",
"telephone_number": "210-585-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 TPC PKWY STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592404",
"telephone_number": "210-585-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHA",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1171045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.