Dr MARTHA C MANGUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
5323 HARRY HINES BLVD
DALLAS
TX
753907208
Tel: 2166480600
| Npi | 1619317336 |
| Pac Id | 1850528316 |
| Professional Enrollment Id | I20161119000346 |
| Last Name | MANGUM |
| First Name | MARTHA |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
| Group Practice Pac Id | 0648188250 |
| Number Of Group Practice Members | 1951 |
| Line 1 Street Address | 5323 HARRY HINES BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DALLAS |
| State | TX |
| Zip Code | 753907208 |
| Phone Number | 2166480600 |
| Hospital Affiliation Ccn 1 | 450044 |
| Hospital Affiliation Lbn 1 | UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. |
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| Professional Accepts Medicare Assignment | Y |
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