Healthcare Provider Details

I. General information

NPI: 1104703586
Provider Name (Legal Business Name): MANU ROYAL TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 N FM 620 RD BLDG D-700
AUSTIN TX
78726-4178
US

IV. Provider business mailing address

8300 N FM 620 RD BLDG D-700
AUSTIN TX
78726-4178
US

V. Phone/Fax

Practice location:
  • Phone: 737-203-2291
  • Fax:
Mailing address:
  • Phone: 737-203-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name: NJOUBISSI C MAGNELA
Title or Position: OWNER
Credential:
Phone: 737-203-2291