Individual provider · Type 1 NPI

Alyssa Nicole Mangan-Reta, DO

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

NPI number 1891376596 Active

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Call (210) 567-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XBP10074275 (TX)
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 1891376596

Alyssa Nicole Mangan-Reta, DO's National Provider Identifier is 1891376596, issued on Apr 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 19, 2021.