Manly, Tara Laurine

Manly, Tara Laurine is an individual health care provider with primary practice located at 2401 S 31St St 6 West Spine Center, Temple TX 76508-7196. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Manly, Tara Laurine can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St 6 West Spine Center Temple TX 76508-7196
Phone: (254) 724-2111
Fax: (254) 724-7567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA06458 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA06458 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06458 Texas

Profile Details

NPI number 1578715637
LBN Legal business name Manly, Tara Laurine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jan 27th, 2022 - about 3 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.

Request for update

Popular Providers