Manfred & Associates, Pa | |
3901 E Stan Schlueter Loop Ste 202 Killeen TX 76542-4554 | |
(254) 634-4244 | |
(254) 634-8809 |
Full Name | Manfred & Associates, Pa |
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Speciality | Psychiatry & Neurology |
Location | 3901 E Stan Schlueter Loop Ste 202, Killeen, Texas |
Authorized Official Name and Position | Edward Freeman (OWNER) |
Authorized Official Contact | 2546344244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manfred & Associates, Pa 3106 S W S Young Dr Ste A103 Killeen TX 76542-2007 Ph: (254) 634-4244 | Manfred & Associates, Pa 3901 E Stan Schlueter Loop Ste 202 Killeen TX 76542-4554 Ph: (254) 634-4244 |
NPI Number | 1093845588 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 11/02/2021 |
Certification Date | 11/02/2021 |
Medicare PECOS PAC ID | 7113906462 |
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Medicare Enrollment ID | O20040719001320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093845588 | NPI | - | NPPES |
165719901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | J4127 (Texas) | Primary |
Provider Name | Edward B Freeman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245269604 PECOS PAC ID: 4183603434 Enrollment ID: I20040720000393 |
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