Individual
JONATHAN PAUL MANNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q8746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221101200
FIRSTCARE
TX
05
—
360501601
—
TX
01
—
519360YKT8
MEDICARE
TX
05
—
84977060
—
NM
01
—
8GC015
BCBS TX
TX
Enumeration date
05/05/2009
Last updated
01/20/2022
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