Individual
PAUL MICHAEL MANN II
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
(713) 275-2457
(713) 275-2466
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
L9794
TX
207W00000X
Ophthalmology Physician
Primary
L9774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB118672
MEDICARE PTAN
TX
Enumeration date
10/10/2005
Last updated
04/05/2011
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