Individual
ISABEL MANTOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681-4004
(512) 341-1000
Mailing address
4224 DUTCHMAN DR, PFLUGERVILLE, TX 78660-6019
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
PA13478
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
11/16/2023
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