Theodore Bergen Manny in Lubbock - Anesthesiology
Theodore Bergen Manny - NPI 1073578878
Theodore Bergen Manny is a Anesthesiology in Lubbock, Texas. Theodore Bergen Manny practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Theodore Bergen Manny is 1073578878. The last update date is 2015-08-10.
Theodore Bergen Manny's current location address is 3420 22nd Place, Lubbock, Texas. You can contact this provider via phone number 8067257800 and fax number 8067236532. The mailing address for Theodore Bergen Manny is 3420 22nd Place, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore Bergen Manny |
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Address | 3420 22nd Place, Lubbock, Texas |
Phone Number | 8067257800 |
Fax Number | 8067236532 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1073578878 |
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Provider Enumeration Date | 2006-04-18 |
Last Updated Date | 2015-08-10 |
Provider Mailing Address Detail
Address | 3420 22nd Place |
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City | Lubbock |
State | Texas (TX) |
Post Code | 79410 |
Phone Number | 8067257800 |
Fax Number | 8067236532 |
Provider's Primary Taxonomy Detail
Speciality | Anesthesiology |
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Taxonomy | 207L00000X |
Licence No | F9104 |
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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157713201 | TX | -- |
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What is the unique identification code assigned to Theodore Bergen Manny by the Centers for Medicare & Medicaid Services?
The Theodore Bergen Manny has been issued the NPI (National Provider Identifier) 1073578878. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Theodore Bergen Manny's physical address?
The Theodore Bergen Manny is physically located at 3420 22Nd Place, in the city of Lubbock, TX, with the postal code 79410.
What is Theodore Bergen Manny's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore Bergen Manny's area of specialization is Anesthesiology, and the corresponding taxonomy code that categorizes this field of practice is 207L00000X.
On what date did Theodore Bergen Manny receive its 1073578878 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Bergen Manny was assigned its 1073578878 on 2006-04-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theodore Bergen Manny most recently updated or revised?
The information pertaining to Theodore Bergen Manny, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-10.