person
Evan Manning
General Practice Physician in San Antonio, Texas
NPI 1386140309

Evan Manning is a General Practice Physician based in San Antonio, TX. Evan Manning practices in San Antonio, TX. The NPI Number for Evan Manning is 1386140309 and holds a License No. (Texas).

The current practice location address for Evan Manning is 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston, San Antonio, TX and can be reached out via phone at 210-292-5077 and via fax at 210-292-7868.

Location: 3551 Roger Brooke Dr., Jbsa-Fort Sam Houston, San Antonio, TX, 78234-4504
person
Provider Profile Details
NPI Number
1386140309
Provider Name
Evan Manning
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr., Jbsa-Fort Sam Houston, San Antonio, TX, 78234-4504
Phone Number
210-292-5077
Fax Number
210-292-7868
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr., Jbsa-Fort Sam Houston
City
State
Zip
78234-4504
Phone Number
210-292-5077
Fax Number
210-292-7868
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr., Jbsa-Fort Sam Houston
City
State
Zip
78234-4504
Phone Number
210-292-5077
Fax Number
210-292-7868
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
84637 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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