Individual
DR. PHILIP DANIEL MANFREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8042 WURZBACH RD, STE 480, SAN ANTONIO, TX 78229-3808
(210) 614-3964
(210) 614-3971
Mailing address
8042 WURZBACH RD, STE 480, SAN ANTONIO, TX 78229-3808
(210) 614-3964
(210) 614-3971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D9224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894701-01
—
TX
Enumeration date
05/23/2005
Last updated
07/08/2010
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