MS. Manga Telidevara, NP
NPI #1497474373 in Montgomery, Texas
Provider Information
- NPI Number
- 1497474373
- Entity Type
- Individual
- Name
- MS. Manga Telidevara, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Aug 24, 2022
- Last Updated
- Dec 12, 2024
Practice Location
- Address
- 615 WORSHAM ST
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77316-4497
- Phone
- (281) 650-0945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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