Individual
DR. KEIKO MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7909 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 78229-3425
(210) 614-5600
(210) 614-8963
Mailing address
4330 MEDICAL DR, STE 150, SAN ANTONIO, TX 78229-3324
(210) 614-5600
(210) 614-8963
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F9807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128424202
—
TX
Enumeration date
11/09/2005
Last updated
12/19/2019
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