# JEFFREY B MANLEY MD PA

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

## Provider details

- **NPI number:** 1811547961
- **Authorized official:** JEFFREY MANLEY MD (PROPRIETOR)
- **Authorized official phone:** (432) 334-7888

## Contact information

- **Practice address:** 601 N TOM GREEN AVE, ODESSA, TX 79761-4567
- **Practice address phone:** (432) 334-7888
- **Mailing address:** 601 N TOM GREEN AVE, ODESSA, TX 79761-4567
- **Mailing address phone:** (432) 334-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019