Individual
JOSHUA LEE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1244
Mailing address
1120 15TH ST # OR2029, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
103754
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
U1958
TX
Other
Enumeration date
04/19/2021
Last updated
04/16/2026
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