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General NPI Number Information
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NPI Number | 1316985583
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Entity Type | Individual
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Provider Name | MICHAEL W MANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 32665 US HIGHWAY 281 N
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City | BULVERDE
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State | TX
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Zip | 78163-3124
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Country | US
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Telephone | 830-980-9686
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Fax | 830-438-3423
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Provider Business Mailing Address
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Address Line | 32665 US HIGHWAY 281 N
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City | BULVERDE
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State | TX
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Zip | 78163-3124
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Country | US
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Telephone | 830-980-9686
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Fax | 830-438-3423
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J6561
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License Number State | TX
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