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Individual

CHRISTOPHER R MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5601 BRIDGE ST STE 550, FORT WORTH, TX 76112-9502
(817) 429-6010
(817) 429-6021
Mailing address
1512 OAK KNOLL ST, DALLAS, TX 75208-2527
(817) 368-2255

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
H2559
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148295204
TX
01
8A9852
BCBS
TX
Enumeration date
03/16/2006
Last updated
12/10/2008
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