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Individual
MRS. VIJAYAKALA MANI
Active
Individual
MRS. VIJAYAKALA MANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
AP09858
TX
208VP0000X
Pain Medicine Physician
Primary
PA09858
TX
363A00000X
Physician Assistant
PA09858
TX
Other
Enumeration date
10/29/2008
Last updated
09/20/2022
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