Provider Demographics
NPI:1447812284
Name:MANN, CHANDLER ROBERT II (OD)
Entity type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:ROBERT
Last Name:MANN
Suffix:II
Gender:M
Credentials:OD
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Mailing Address - Street 1:20079 STONE OAK PKWY STE 1104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6943
Mailing Address - Country:US
Mailing Address - Phone:830-205-2420
Mailing Address - Fax:830-205-8122
Practice Address - Street 1:20079 STONE OAK PKWY STE 1104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-6943
Practice Address - Country:US
Practice Address - Phone:830-205-2420
Practice Address - Fax:830-205-8122
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9800TG152W00000X
TX9800T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist