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Contact Information

VICTOR S MANGONA, MD
1501 W ROYAL LN
IRVING, TX75063-3213
 Phone: 469-513-5500
 Fax: 469-420-9600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VICTOR S MANGONA · (Male)

NPI Number 1790910412
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2009
Last updated 02/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301094323
  • TX License # Q5028
  • AR Medicaid 240726001
  • KS Medicaid 201312910A
  • TX Medicaid 348568201
  • TX Medicaid 348568202
  • TX Medicaid 348568203
  • TX Other P01667436 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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