Individual
IRECA ANN MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 100, RICHARDSON, TX 75082-4277
(469) 695-2077
(469) 695-2078
Mailing address
PO BOX 731263, DALLAS, TX 75373-6926
(214) 884-4700
(214) 884-4761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17900
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2022
Last updated
08/10/2026
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