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Organization

POONAM MANASA, M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POONAM M. MANASA M.D. (OWNER)
(727) 560-0522
Entity
Organization

Contact information

Practice address
2041 SUNDANCE PKWY, NEW BRAUNFELS, TX 78130-2779
(727) 560-0522
Mailing address
3238 OLD COACH DR, NEW BRAUNFELS, TX 78130-2665
(727) 560-0522

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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