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Organization
MICHAEL W MANN MD PA
Active
Organization
MICHAEL W MANN MD PA
Active
Other names
Century Regional Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM MANN M.D. (PHYSICIAN OWNER)
(830) 980-9686
Entity
Organization
Contact information
Practice address
32665 US HIGHWAY 281 N, BULVERDE, TX 78163-3124
(830) 980-9686
(830) 438-3423
Mailing address
32665 US HIGHWAY 281 N, P.O. BOX 412, BULVERDE, TX 78163-3124
(830) 980-9686
(830) 438-3423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188503
—
TX
05
—
100188504
—
TX
01
—
DG1029
PALMETTO GBA RAILROAD MED
TX
Enumeration date
06/11/2006
Last updated
07/27/2010
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