Individual
MARK G MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N BEDELL AVE, DEL RIO, TX 78840-8001
(830) 774-2505
(830) 774-2394
Mailing address
PO BOX 437, SAN ANTONIO, TX 78292-0437
(210) 558-6288
(210) 558-6289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3848
TX
Other
Enumeration date
11/08/2005
Last updated
06/11/2013
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