Dr SUSAN P MANGUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008 from University Of Texas Medical School At San Antonio.
EDGE-MD HOLDING PLLC
6018 W AVE
2 MEDICO MD MEDICAL DENTAL
CASTLE HILLS
TX
782131672
Tel: 2109798478
| Npi | 1962657486 |
| Pac Id | 7214114792 |
| Professional Enrollment Id | I20110609000464 |
| Last Name | MANGUM |
| First Name | SUSAN |
| Middle Name | P |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | EDGE-MD HOLDING PLLC |
| Group Practice Pac Id | 7719269661 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 6018 W AVE |
| Line 2 Street Address | 2 MEDICO MD MEDICAL DENTAL |
| Marker Of Address Line 2 Suppression | |
| City | CASTLE HILLS |
| State | TX |
| Zip Code | 782131672 |
| Phone Number | 2109798478 |
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| Professional Accepts Medicare Assignment | Y |
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