Individual
MICHELLE T MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W STATE HIGHWAY 6, SUITE 101, WACO, TX 76710-5575
(254) 772-5454
(254) 772-6464
Mailing address
PO BOX 18962, BELFAST, ME 04915-4084
(800) 566-5050
(254) 772-6464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175707201
—
TX
Enumeration date
08/18/2006
Last updated
01/30/2017
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