Individual
DR. ALEXANDER MICHAEL MANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 PARK CENTRAL DR, SUITE 403, DALLAS, TX 75251-2100
(214) 617-2000
(214) 617-2222
Mailing address
7610 N STEMMONS FWY, STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N5836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297297802
—
TX
Enumeration date
06/21/2007
Last updated
09/25/2020
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