Individual
JOSE MANZANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
5327 N CENTRAL EXPY, STE 200, DALLAS, TX 75205-3345
(214) 520-8235
(214) 520-8236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1031068
TX
Other
Enumeration date
03/01/2021
Last updated
03/11/2021
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