IndividualActive
Justin Manley, CCP
NPI 1306475579 · Perfusionist · San Antonio, TX
Provider details
- NPI number
- 1306475579
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PPF02000069 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497
Phone: (210) 614-7074
Approximate (ZIP-level) locationGet directions
Mailing address
14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.