Provider Demographics
NPI:1730274077
Name:MCMANUS, MILA (MD)
Entity type:Individual
Prefix:MRS
First Name:MILA
Middle Name:
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7606
Mailing Address - Street 2:
Mailing Address - City:WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:866-680-9355
Mailing Address - Fax:281-419-1373
Practice Address - Street 1:26110 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1959
Practice Address - Country:US
Practice Address - Phone:281-298-6742
Practice Address - Fax:281-419-1373
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3013207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN/AMedicaid
TXN/AMedicaid
H74764Medicare UPIN