Individual
DR. DANNEN DOUGLAS MANNSCHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5333
(432) 335-5316
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5333
(432) 335-5316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A4630
BCBS
TX
Enumeration date
03/07/2007
Last updated
07/09/2007
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