| Manor Family Practice | |
|
14001 Shadow Glen Blvd Suite G Manor TX 78653-3386 | |
| (512) 535-4787 | |
| Not Available |
| Full Name | Manor Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14001 Shadow Glen Blvd, Manor, Texas |
| Authorized Official Name and Position | Marilyn Ruiz (MEMBER) |
| Authorized Official Contact | 5125354787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Family Practice 14001 Shadow Glen Blvd Suite G Manor TX 78653-3386 Ph: (512) 535-4787 | Manor Family Practice 14001 Shadow Glen Blvd Suite G Manor TX 78653-3386 Ph: (512) 535-4787 |
| NPI Number | 1154761559 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 06/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154761559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N0419 (Texas) | Primary |
People's Community Clinic Off-site Clinic At Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10335 Us Highway 290 E, Manor, TX 78653 Phone: 512-278-4462 Fax: 512-278-4017 | |
Communitycare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14008 Shadowglen Blvd Ste 302, Manor, TX 78653 Phone: 512-978-9780 Fax: 512-901-9739 | |
Communitycare--manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W Carrie Manor St, Manor, TX 78653 Phone: 512-978-9780 Fax: 512-978-9781 |