| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 7113906462 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245269604 PECOS PAC ID: 4183603434 Enrollment ID: I20040720000393 |
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