Organization Active NPI

Jon F. Manjarris, M.D.,P.a.

  • Durable Medical Equipment & Medical Supplies
  • Alice, TX
National Provider Identifier
1164636395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
F1772 Issued in TX
Legal business name
JON F. MANJARRIS, M.D.,P.A.
Practice address
500 Flournoy Rd
Alice, TX 78332-4085
Phone
(361) 241-0324
Fax
(361) 387-4153
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jon F Manjarris, M D
Title
Owner
Phone
(361) 241-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X F1772 TX Primary

Addresses

Primary practice location

500 Flournoy Rd
Alice, TX 78332-4085

Mailing address

14317 Northwest Blvd
Suite a
Corpus Christi, TX 78410-5536
Phone (361) 241-0324

National Provider Directory

National Provider Directory

Locations

500 Flournoy Rd
Alice, TX 78332
Phone (361) 661-0255

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164636395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 NORTHWEST BLVD",
            "address_2": "SUITE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105536",
            "telephone_number": "361-241-0324",
            "fax_number": "361-387-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FLOURNOY RD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324085",
            "telephone_number": "361-241-0324",
            "fax_number": "361-387-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON F. MANJARRIS, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANJARRIS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-241-0324",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "F1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.