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32665 Us Highway 281 N, Bulverde, TX 78163-3124 | |
(830) 980-9686 | |
(830) 438-3423 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 32665 Us Highway 281 N, Bulverde, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528000189 | NPI | - | NPPES |
100188503 | Medicaid | TX | |
100188504 | Medicaid | TX | |
DG1029 | Other | TX | PALMETTO GBA RAILROAD MED |
Provider Name | Michael William Mann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316985583 PECOS PAC ID: 9133039365 Enrollment ID: I20060928000466 |
Mailing Address | Practice Location Address |
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32665 Us Highway 281 N, P.o. Box 412, Bulverde, TX 78163-3124 Ph: (830) 980-9686 | 32665 Us Highway 281 N, Bulverde, TX 78163-3124 Ph: (830) 980-9686 |