Individual
JODY R MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1665 ANTILLEY RD, SUITE 200, ABILENE, TX 79606-5265
(325) 793-5130
(325) 670-5133
Mailing address
PO BOX 5409, ABILENE, TX 79608-5409
(325) 793-5130
(325) 793-5133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03026
TX
Other
Enumeration date
10/26/2005
Last updated
01/02/2020
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