Manuel, Mary
Manuel, Mary is an individual health care provider with primary practice located at 710 S 8Th St , Beaumont TX 77701-4642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Manuel, Mary can be contacted via phone (409) 838-9944.Contact Information
Primary practice address
710 S 8Th St
Beaumont TX 77701-4642
Phone: (409) 838-9944
Fax: (409) 838-9086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F1135 | Texas |
Profile Details
| NPI number | 1518962364 |
|---|---|
| LBN Legal business name | Manuel, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518962364 | NPPES |
| Texas | Other | 00ER04 | BLUE CROSS |
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