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