Individual
MARK MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 CREEKSIDE XING, NEW BRAUNFELS, TX 78130-2594
(830) 500-6788
Mailing address
763 SPECTRUM DR, NEW BRAUNFELS, TX 78130-2022
(830) 609-8841
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
26511
TX
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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