P Praxis·MD
● Active Type 1 · Individual

Theodore Bergen Manny, MD

Anesthesiology·Lubbock, TX· NPI 1073578878 · Enumerated 2006 · 20 years on NPI
Manny is 1 of 82 anesthesiology providers in Lubbock and 1 of 6023 in Texas.
NPI age
20 years
Enumerated 2006-04-18
Primary specialty
Anesthesiology
Plus 1 subspecialty
Licensed in
NC, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-08-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 6023 active anesthesiology providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
3420 22nd Place
Lubbock, TX 79410
📞 8067251800fax 8067236532
Mailing address
3420 22nd Place
Lubbock, TX 79410
📞 8067257800fax 8067236532

Specialties

  • Anesthesiology Primary
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    NC license #2014-01937TX license #F9104 taxonomy 207L00000X

Identifiers

TypeValueNotes
05 (TX) 157713201
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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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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