Manor Family Practice, Pllc

NPI #1154761559 in Manor, Texas

Provider Information

NPI Number: 1154761559
Entity Type: Organization
Organization Name: Manor Family Practice, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 14001 SHADOW GLEN BLVD
Address 2: SUITE G
City: Manor
State: Texas
ZIP Code: 78653-3386
Phone: (512) 535-4787

Authorized Official

Name: DR. MARILYN RUIZ, M.D.
Title: MEMBER
Phone: (512) 535-4787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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