Individual
DAISY MANALEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3140 HORIZON RD STE 101, ROCKWALL, TX 75032-7822
(972) 772-5522
Mailing address
6530 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07572
TX
363AM0700X
Medical Physician Assistant
PA07572
TX
Other
Enumeration date
01/25/2012
Last updated
08/16/2023
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