MEDICARE: AMIT MANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	M9480	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M9480	TX

General Provider Information

NPI Number	:	1063605129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT MANN MD

Provider Business Mailing Address
First Line	:	15134 KING OF SPAIN CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-6426
Country	:	US
Telephone Number	:	817-718-5495
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 W COLORADO BLVD
Second Line	:	PAV II, SUITE 528
City	:	DALLAS
State	:	TX
Zip	:	75208-2363
Country	:	US
Telephone Number	:	214-960-5681
Fax Number	:	214-947-2727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	02/06/2026

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Directions to “ AMIT MANN MD” Practice Location

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