Organization
MANFRED & ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FREEMAN M.D. (OWNER)
(254) 634-4244
Entity
Organization
Contact information
Practice address
3901 E STAN SCHLUETER LOOP STE 202, KILLEEN, TX 76542-4554
(254) 634-4244
(254) 634-8809
Mailing address
3106 S W S YOUNG DR STE A103, KILLEEN, TX 76542-2007
(254) 634-4244
(254) 634-8809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J4127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165719901
—
TX
Enumeration date
03/06/2007
Last updated
11/02/2021
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