Organization Active NPI

Pannaben H Nangha MD PLLC

  • Primary Care Clinic/Center
  • Mansfield, TX
National Provider Identifier
1972864486
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N8959 Issued in TX
Legal business name
PANNABEN H NANGHA MD PLLC
Practice address
221 Regency Pkwy
Suite 125
Mansfield, TX 76063-5165
Phone
(817) 627-7127
Fax
(817) 453-8091
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Pannaben H Nangha, MD
Title
President
Phone
(817) 627-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X N8959 TX Primary

Addresses

Primary practice location

221 Regency Pkwy
Suite 125
Mansfield, TX 76063-5165

Mailing address

221 Regency Pkwy
Suite 125
Mansfield, TX 76063-5165
Phone (817) 477-5884

Other identifiers 1

IdentifierTypeStateIssuer
309379101MedicaidTX

National Provider Directory

National Provider Directory

Locations

221 Regency Pkwy
Ste 125
Mansfield, TX 76063
Phone (817) 477-5884

661 E Main St
Ste 800
Midlothian, TX 76065
Phone (682) 773-3072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1972864486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 125",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "817-477-5884",
            "fax_number": "817-453-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 125",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635165",
            "telephone_number": "817-627-7127",
            "fax_number": "817-453-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANNABEN H NANGHA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "NANGHA",
        "authorized_official_first_name": "PANNABEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-627-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N8959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309379101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.