Manuel Hababag, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J5339 Issued in TX

Legal business name

MANUEL HABABAG, MD, PA

Practice address

3321 Ridgemont Dr
Orange, TX 77630-4235

Phone

(409) 883-6052

NPI assigned

May 25, 2011

Last updated

May 25, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manuel B Hababag, MDNPI 1356319776

Title

Owner

Phone

(409) 883-6052

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel B Hababag, MD

  • Family Medicine Physician
  • Orange, TX
  • NPI 1356319776
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1134412034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 RIDGEMONT DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304235",
            "telephone_number": "409-883-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 RIDGEMONT DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304235",
            "telephone_number": "409-883-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL HABABAG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HABABAG",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-883-6052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133123303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133123306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LSMR, PLLC (Horizon Family Practice & Geriatrics)
• Lsmrbt, PLLC
• Eryn M Lucas, PSY.D.
• Julie Lucas
• Kimberly Luster
• Tonya Manuel
• Mark a Weaver O D Inc
• Robert Marroquin, DDS
• Lauren McGee, BEHAVORIAL ANALYST
• Med Southwest, PLLC (MyEyeDr.)

• Family Medicine Physician in Orange, TX
• Providers in Orange, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.