Dr Tia C Manning, MD | |
333 N Santa Rosa, San Antonio, TX 78207-3108 | |
(210) 704-4100 | |
Not Available |
Full Name | Dr Tia C Manning |
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Gender | Female |
Speciality | Pediatrics |
Location | 333 N Santa Rosa, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164667929 | NPI | - | NPPES |
013893700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME121132 (Florida) | Primary |
208000000X | Pediatrics | TX (Texas) | Secondary |
208000000X | Pediatrics | 25MA08713600 (New Jersey) | Secondary |
Entity Name | Southwest Florida Emergency Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780911206 PECOS PAC ID: 0648314393 Enrollment ID: O20100218000201 |
Mailing Address | Practice Location Address |
---|---|
Dr Tia C Manning, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-6260 | Dr Tia C Manning, MD 333 N Santa Rosa, San Antonio, TX 78207-3108 Ph: (210) 704-4100 |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 | |
Mr. Byron Scott Dooley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Oak Centre, Suite 350, San Antonio, TX 78258 Phone: 210-297-4560 Fax: 210-297-0451 | |
Dr. Elizabeth Christiane Diltz Menking, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7700 Floyd Curl, San Antonio, TX 78229 Phone: 210-871-4409 Fax: 210-524-9599 | |
Dr. Lauren Elizabeth Munk, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19223 Stonehue Ste 117, San Antonio, TX 78258 Phone: 210-491-0772 Fax: 210-491-2769 |