Vivek Mangla, MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K2237 Issued in TX

Legal business name

VIVEK MANGLA, MD PC

Practice address

710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187

Phone

(936) 639-0988

Fax

(936) 639-0991

NPI assigned

Feb 20, 2008

Last updated

Jul 21, 2022By 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

Mrs. Rhonda Thompson

Title

Office MGR

Phone

(936) 639-0988

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Subramanya Vara Prasad Gajaraju Venkata, M.D

  • Interventional Cardiology Physician
  • Lufkin, TX
  • NPI 1184854721

  Cardiovascular Disease

  Medicare reassignment NPD
• Vivek Mangla, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Lufkin, TX
  • NPI 1568579233

  Cardiovascular Disease

  Medicare reassignment NPD
• Inder M Singh, MD, MS

  • Interventional Cardiology Physician
  • Sacramento, CA
  • NPI 1417117581

  Cardiovascular Disease, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942479290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043187",
            "telephone_number": "936-639-0988",
            "fax_number": "936-639-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043187",
            "telephone_number": "936-639-0988",
            "fax_number": "936-639-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVEK MANGLA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "936-639-0988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2237",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0023QH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dax Eli Wagner
• Jackson D Wagnon, M.D.
• William Wright Wagnon
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0140)
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• Cardiovascular Disease Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.