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Dr. Edward Manigault, DO
General Practice Physician in Fort Sam Houston, Texas
NPI 1205818895

Edward Manigault is a General Practice Physician based in San Antonio, TX. Edward Manigault practices in Fort Sam Houston, TX and has the professional credentials of DO. The NPI Number for Edward Manigault is 1205818895 and holds a License No. 0102201616 (Texas).

The current practice location address for Edward Manigault is 3851 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-1415.

Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX, 78218-3046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205818895
Provider Name
Edward Manigault
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3851 Roger Brooke Dr, Fort Sam Houston, TX, 78218-3046
Phone Number
210-916-1415
Fax Number
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3851 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4501
Phone Number
210-916-1415
Fax Number
person
Provider Business Mailing Address Details
Address
3851 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4501
Phone Number
210-916-1415
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102201616 (Virginia)
Definition
Definition to come...
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