Individual
MRS. ANA V. MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6511 US HIGHWAY 181 N, FLORESVILLE, TX 78114
(830) 393-1400
(830) 393-1749
Mailing address
6511 US HIGHWAY 181 N, FLORESVILLE, TX 78114
(830) 393-1400
(830) 393-1749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3859852-02
—
TX
01
—
3859852-03
CSHCN
TX
Enumeration date
07/16/2015
Last updated
02/24/2021
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