NPI Index

MARY MANIS, M.S. M.D.

Family Medicine

Active Individual
NPI: 1457352288

Practice Address

RUSK STATE HOSPITAL
1601 NORTH DICKINSON DRIVE
Rusk, TX 75785

Phone: (903) 683-7436

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes J1974 (TX)

Frequently Asked Questions

NPI 1457352288 is the National Provider Identifier for MARY MANIS, M.S. M.D., a Family Medicine provider located in Rusk, TX. This NPI was enumerated on August 2, 2005.
MARY MANIS, M.S. M.D. practices at RUSK STATE HOSPITAL, 1601 NORTH DICKINSON DRIVE, Rusk, TX 75785.

Quick Facts

NPI
1457352288
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Jun 23, 2010

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