Individual
DR. MANJUNATH RACHOTEPPA BANNUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 ROLAND ST, SPEARMAN, TX 79081-3441
(806) 659-2535
Mailing address
716 HANEY ST, SPEARMAN, TX 79081-3550
(989) 948-7719
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD18885
ME
207P00000X
Emergency Medicine Physician
Q2240
TX
Other
Enumeration date
06/13/2008
Last updated
04/07/2015
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