Individual
DR. PAUL MICHAEL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(281) 446-7900
(281) 446-4879
Mailing address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(713) 275-2457
(713) 275-2466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
D7443
TX
207W00000X
Ophthalmology Physician
Primary
D7443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116944305
—
TX
01
—
TXB118670
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
06/15/2005
Last updated
04/05/2011
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