Manor Family Practice, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N0419 Issued in TX

Legal business name

MANOR FAMILY PRACTICE, PLLC

Doing business as

Manor Family Practice

Practice address

14001 Shadow Glen Blvd
Suite G
Manor, TX 78653-3386

Phone

(512) 535-4787

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn Ruiz, M.D.

Title

Member

Phone

(512) 535-4787

Specialties & licenses 1

Addresses

Other names 1

• Manor Family Practice Doing business as

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1154761559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 SHADOW GLEN BLVD",
            "address_2": "SUITE G",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533386",
            "telephone_number": "512-535-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 SHADOW GLEN BLVD",
            "address_2": "SUITE G",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533386",
            "telephone_number": "512-535-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-535-4787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N0419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dieu Mai
• Jan Mann, LPC
• Manor Birth Sanctuary
• Manor Dental Associates
• Manor Family Orthodontics, PLLC
• Manor Independent School District
• Manor Modern Dentistry, PC
• Manor Orthodontic Associates, P.a.
• Manor Pediatric Dental Associates PA
• Manor Smiles, LLC

• Primary Care Clinic/Center in Manor, TX
• Providers in Manor, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.