Individual
MANJU K MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197589803
—
TX
01
—
8315UM
BCBS
TX
01
—
P01734846
RR MEDICARE
TX
Enumeration date
02/15/2008
Last updated
10/31/2022
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