Individual provider · Type 1 NPI

Juan Antonio Mancilla Jr.

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1255059671 Active

Practice location

3601 4th St
Lubbock, TX 79430-0002

Call (806) 743-1000 Map

Mailing address

1093 Hoben Rd
Nocona, TX 76255-6561

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255059671

Juan Antonio Mancilla Jr.'s National Provider Identifier is 1255059671, issued on Aug 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Aug 22, 2022.