Individual
MR. SLADE MANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., L.M.T.
Contact information
Practice address
2111 DICKSON DR, 22, AUSTIN, TX 78704-4796
(512) 203-1816
Mailing address
2305B WESTERN TRAILS BLVD, AUSTIN, TX 78745-1634
(512) 203-1816
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01480
TX
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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