Individual provider · Type 1 NPI

Manga Telidevara, NP

Family Nurse Practitioner · Montgomery, TX

NPI number 1497474373 Active

Practice location

615 Worsham St
Montgomery, TX 77316-4497

Call (281) 650-0945 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1090732 (TX)
Nurse Practitioner 363L00000X1090732 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1497474373

Manga Telidevara, NP's National Provider Identifier is 1497474373, issued on Aug 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montgomery, TX. The record was last updated on Dec 12, 2024.