Individual
PHYLLIS MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 452-5476
Mailing address
10343 GRAND CLUB DR, SAN ANTONIO, TX 78239-1416
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
694389
TX
Other
Enumeration date
03/17/2025
Last updated
04/11/2025
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