Individual
DANIELLE BAGALEY MANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11410 JOLLYVILLE RD STE 1101, AUSTIN, TX 78759-4093
(512) 231-1444
(512) 231-7051
Mailing address
8240 N MOPAC EXPY STE 100, AUSTIN, TX 78759-8869
(512) 687-1950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA06461
TX
363AM0700X
Medical Physician Assistant
Primary
PA06461
TX
Other
Enumeration date
12/10/2009
Last updated
11/01/2021
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