Mantis Medical PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MANTIS MEDICAL PLLC

Practice address

14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679

Phone

(281) 524-8902

Fax

(281) 805-1386

NPI assigned

Apr 3, 2025

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanisha MangonNPI 1770896953

Title

Owner

Phone

(832) 334-8427

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanisha Mangon, MSN, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Sugar Land, TX
  • NPI 1770896953
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1558165803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 QUIET MEADOW CT",
            "city": "MEADOWS PLACE",
            "state": "TX",
            "postal_code": "774772258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783679",
            "telephone_number": "281-524-8902",
            "fax_number": "281-805-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "MANGON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-334-8427"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770896953",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swati Mannikar, M.S,LPC
• Stephen Manning
• Constance M Mannke, RN
• Ann Manolakos, R.N.
• Brittany Manor
• Vasudha Mantravadi, MD
• Varos Victer Manukyan, DO
• Sethunya Manyuna
• Robert C Mao, M.D.
• Jeremy Robert Marasek

• Adult Health Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.