Ccst Associates PLLC
NPI 1023117157ActiveOrganization· Specialist· Dallas, TX
Specialist in Dallas, Texas, registered in NPPES in September 2006. The authorized official on file is Alicia J. Mangram, M.D., Trauma Surgeon.
Overview
| NPI | 1023117157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Oct 17, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | J8654 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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