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Contact Information

THEODORE B MANNY, MD
3420 22ND PLACE
LUBBOCK, TX79410
 Phone: 806-725-1800
 Fax: 806-723-6532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THEODORE B MANNY · (Male)

NPI Number 1073578878
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 08/10/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2014-01937
  • TX License # F9104
  • TX Medicaid 157713201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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