Manuel Hababag, Md, Pa | |
3321 Ridgemont Dr Orange TX 77630-4235 | |
(409) 883-6052 | |
Not Available |
Full Name | Manuel Hababag, Md, Pa |
---|---|
Speciality | Family Medicine |
Location | 3321 Ridgemont Dr, Orange, Texas |
Authorized Official Name and Position | Manuel B Hababag (OWNER) |
Authorized Official Contact | 4098836052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Manuel Hababag, Md, Pa 3321 Ridgemont Dr Orange TX 77630-4235 Ph: (409) 883-6052 | Manuel Hababag, Md, Pa 3321 Ridgemont Dr Orange TX 77630-4235 Ph: (409) 883-6052 |
NPI Number | 1134412034 |
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Provider Enumeration Date | 05/25/2011 |
Last Update Date | 05/25/2011 |
Medicare PECOS PAC ID | 8426235607 |
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Medicare Enrollment ID | O20110616000118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134412034 | NPI | - | NPPES |
133123306 | Medicaid | TX | |
133123303 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J5339 (Texas) | Primary |
Provider Name | James B Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821022914 PECOS PAC ID: 2365521390 Enrollment ID: I20080502000093 |
Provider Name | Manuel B Hababag |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356319776 PECOS PAC ID: 6507043783 Enrollment ID: I20110616000145 |
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