290 Mangum Healthcare LLC
NPI 1164726956ActiveOrganization· Family Medicine, Adult Medicine· Houston, TX
Family Medicine, Adult Medicine in Houston, Texas, registered in NPPES in January 2011. The authorized official on file is Tabare D. Tabar, P A, Manager.
Overview
| NPI | 1164726956 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2011 |
| Last updated in NPPES | Jan 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | PA01537 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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