TARA LAURINE MANLY

TEMPLE, TX
NPI1578715637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA06458)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: TX  PA06458)
363AS0400X Physician Assistant, Surgical
(Licence: TX  PA06458)
Enumeration Date2008-10-21
Last Update Date2022-01-27
Business Address
TARA LAURINE MANLY PA
2401 S 31ST ST 6 WEST SPINE CENTER
TEMPLE, TX 76508-7196
Phone number: 254-724-2111
Mailing Address
TARA LAURINE MANLY PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111