Individual
ANTHONEY MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2101 PEASE ST, HARLINGEN, TX 78550-8307
(956) 389-1100
Mailing address
17134 LEMON AVE, HARLINGEN, TX 78552-2767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057901
TX
Other
Enumeration date
11/02/2021
Last updated
11/03/2021
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