# MANJU NATH MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457745218
- **Authorized official:** DR. MANJU NATH MD (PRESIDENT)
- **Authorized official phone:** (214) 499-1217

## Contact information

- **Practice address:** 3144 W 28TH AVE STE C, AMARILLO, TX 79109-3169
- **Practice address phone:** (806) 355-6593
- **Practice address fax:** (806) 352-8774
- **Mailing address:** PO BOX 8337, AMARILLO, TX 79114-8337
- **Mailing address phone:** (806) 355-6593
- **Mailing address fax:** (806) 352-8774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | J3560 | TX | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 03/19/2015