Individual
MR. TY J. MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHS
Contact information
Practice address
4030 DOWLEN RD STE 6, BEAUMONT, TX 77706-6878
(409) 892-9091
(409) 892-9090
Mailing address
PO BOX 1526, ORANGE, TX 77631-1526
(409) 892-9091
(409) 892-9090
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180555801
—
TX
Enumeration date
12/08/2006
Last updated
06/13/2008
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