Individual
IRECA ANN MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6407 CARLTON GARRETT STREET, DALLAS, TX 75215
(214) 833-3478
(214) 833-3491
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
07/15/2025
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