P Praxis·MD
● Active Type 1 · Individual

Andy Raul Manzano Matos, PA

Physician Assistant·San Antonio, TX· NPI 1043913163 · Enumerated 2023 · 3 years on NPI
Manzano Matos is 1 of 215 physician assistant providers in San Antonio and 1 of 2220 in Texas.
NPI age
3 years
Enumerated 2023-03-27
Primary specialty
Physician Assistant
Licensed in
PR
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
3 years
↓ 12 yr below median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
11329 West Ave
San Antonio, TX 782131341
📞 2108868666fax 2108868667
Mailing address
11329 West Ave
San Antonio, TX 782131341
📞 2108868666fax 2108868667

Specialties

  • Physician Assistant Primary
    Definition to come...
    PR license #1551 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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