Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Laurine Manly, PA

Individual provider Medical Physician Assistant · NPI 1578715637

Tara Laurine Manly, PA is a Physician Assistant in Temple, Texas. Qualified in 2008, 18 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2401 S 31st St 6 West Spine Ctr
Temple, TX 76508-7196
Phone: (254) 724-2111
Fax: (254) 724-7567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06458 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA06458 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA06458 (TX)

Record details

NPI number1578715637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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