Active NPI
Larry G. Manning, M.D.
- Vascular Surgery Physician
- Horseshoe Bay, TX
National Provider Identifier
1831508316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- E5157
- Practice address
- 108 Twilight
Horseshoe Bay, TX 78657 - Phone
- (830) 598-4925
- Fax
- (830) 598-4925
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | E5157 | TX | Primary |
Addresses
Primary practice location
108 Twilight
Horseshoe Bay, TX 78657
Mailing address
PO Box 4937
Horseshoe Bay, TX 78657
Phone (830) 598-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5157 | TX | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1831508316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4937",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "78657",
"telephone_number": "830-598-4925",
"fax_number": "830-598-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 TWILIGHT",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "78657",
"telephone_number": "830-598-4925",
"fax_number": "830-598-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "LARRY",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "E5157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horseshoe Bay, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.