1326829904 NPI number — THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

Table of content: MR. MATTHEW ALAN MANLEY MASSAGE PRACTITIONER (NPI 1316373640)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326829904 NPI number — THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326829904
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8431 FREDERICKSBURG RD FL 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78229-3392
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-450-9000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8311 EWING HALSELL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-562-8000
Provider Business Practice Location Address Fax Number:
210-562-8989
Provider Enumeration Date:
10/10/2023

Additional Information

Authorized Official

Authorized Official Last Name:
MARKS
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR EXECUTIVE VICE PRESIDENT
Authorized Official Telephone Number:
210-450-4621

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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