Provider Demographics
NPI:1578268843
Name:MANNING, ZACHARIAH C
Entity Type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:C
Last Name:MANNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 FOREST LN STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3903
Mailing Address - Country:US
Mailing Address - Phone:214-597-8887
Mailing Address - Fax:
Practice Address - Street 1:8215 FOREST LN STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3903
Practice Address - Country:US
Practice Address - Phone:214-597-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies