Manning, John

Manning, John is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Manning, John can be contacted via phone (512) 795-5100.

Contact Information

Primary practice address
12554 Riata Vista Cir Austin TX 78727-6431
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X L1932 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L1932 Texas

Profile Details

NPI number 1265436893
LBN Legal business name Manning, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 25th, 2024 - about 6 months 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 1265436893 NPPES
Texas MEDICAID 143592702

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