Individual
MANJU NATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 W 9TH AVE, AMARILLO, TX 79106-1703
(214) 499-1217
Mailing address
2605 COMMONWEALTH CT, PLANO, TX 75093-4771
(214) 499-1217
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J3560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136512401
—
TX
Enumeration date
11/11/2006
Last updated
03/30/2015
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