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Phyllis Manning

Registered Nurse, Psych/Mental Health, Adult in San Antonio, TX. Individual provider (NPI-1).

NPI number1598565780
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1598565780
Entity type
Individual (NPI-1)
Name
Phyllis Manning
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 17, 2025
Certification date
Apr 11, 2025
Last updated
Apr 11, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult694389TXYes

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone 210-452-5476

Mailing address

10343 Grand Club Dr
San Antonio, TX 78239-1416

Phone 210-617-5300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Adult Psychiatric/Mental Health Registered Nurse providers in San Antonio, TX

All 20 Adult Psychiatric/Mental Health Registered Nurse providers in San Antonio · All 48,677 providers in San Antonio

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