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Individual

DR. DANIEL MANESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP-C, PMHNP-BC

Contact information

Practice address
915 S LAREDO ST, SAN ANTONIO, TX 78204-3211
(210) 277-1418
(210) 277-1458
Mailing address
9414 PEGASUS RUN RD, SAN ANTONIO, TX 78254-6216
(210) 957-9382

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
861682
TX
363LF0000X
Family Nurse Practitioner
1031933
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1031933
TX

Other

Enumeration date
10/25/2020
Last updated
11/13/2024
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