Pe Nangoh LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PE NANGOH LLC

Practice address

4801 Fredericksburg Rd Ste a
San Antonio, TX 78229-3667

Phone

(908) 251-3017

NPI assigned

May 20, 2022

Organization subpart

No

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

Authorized official

Name

Paul Nangoh Elangwe, MD

Title

President

Phone

(908) 251-3017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1891433728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ONIX ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390285",
            "telephone_number": "908-251-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FREDERICKSBURG RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293667",
            "telephone_number": "908-251-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PE NANGOH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "ELANGWE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NANGOH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-251-3017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.