Manfredi, Philip Daniel

Manfredi, Philip Daniel is an sole proprietor health care provider with primary practice located at 8042 Wurzbach Rd Ste 480, San Antonio TX 78229-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Manfredi, Philip Daniel can be contacted via phone (210) 614-3964.

Contact Information

Primary practice address
8042 Wurzbach Rd Ste 480 San Antonio TX 78229-3808
Phone: (210) 614-3964
Fax: (210) 614-3971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D9224 Texas

Profile Details

NPI number 1912900010
LBN Legal business name Manfredi, Philip Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912900010 NPPES
Texas MEDICAID 0894701-01

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