ANDY RAUL MANZANO MATOS

SAN ANTONIO, TX
NPI1043913163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PR  1551)
Enumeration Date2023-03-27
Last Update Date2023-04-25
Business Address
ANDY RAUL MANZANO MATOS PA
11329 WEST AVE
SAN ANTONIO, TX 78213-1341
Phone number: 210-886-8666
Mailing Address
ANDY RAUL MANZANO MATOS PA
11329 WEST AVE
SAN ANTONIO, TX 78213-1341
Phone number: 210-886-8666
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