Individual
DR. PAUL MICHAEL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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