Individual
CHRISTOPHER SCOTT MANATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 E SAN ANTONIO ST, SUITE 509E, VICTORIA, TX 77901-6050
(361) 573-6351
(361) 575-6455
Mailing address
605 E SAN ANTONIO ST, SUITE 509E, VICTORIA, TX 77901-6050
(361) 573-6351
(361) 575-6455
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
41133
AZ
208800000X
Urology Physician
Primary
N2638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002807191
UNITED HEALTH CARE
TX
05
—
201477102
—
TX
01
—
7604423386179
CHAMPUS TRICARE
TX
01
—
8FC798
BLUE CROSS/BLUE SHIELD OF TEXAS
TX
01
—
P00890691
MEDICARE RAILROAD
TX
Enumeration date
01/09/2007
Last updated
09/06/2024
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