Individual provider Active NPI

Manuel O Vasquez, N.P.

  • Adult Health Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1740386895
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
609964 Issued in TX
Practice address
6800 West Loop S Ste 560
Bellaire, TX 77401-4516
Phone
(713) 839-7111
Fax
(713) 839-7156
NPI assigned
Sep 16, 2006
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 609964 TX Primary

Addresses

Primary practice location

6800 West Loop S Ste 560
Bellaire, TX 77401-4516

Mailing address

6200 Savoy Dr Ste 540
Houston, TX 77036-3338
Phone (713) 778-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000650 TX Practitioner - Nurse Practitioner 4587758214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Hope Foundation IncGroup PAC ID 4880508878, 7 clinicians

Practice addresses (Care Compare)

14815 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (281) 277-8571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Hope Foundation, Inc CurrentSince Jan 27, 2013 Accepting new patients
St. Hope Foundation, Inc CurrentSince Jan 27, 2013 Accepting new patients
St Hope Foundation Inc Current Accepting new patients
St Hope Foundation Inc Past Accepting new patients
St. Hope Foundation, Inc. Past Accepting new patients

Locations

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

1414 S Frazier St
Ste 105
Conroe, TX 77301
Phone (936) 441-2440

1414 S Frazier St
Ste 106
Conroe, TX 77301
Phone (936) 441-2440

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1740386895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SAVOY DR STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363338",
            "telephone_number": "713-778-1300",
            "fax_number": "713-778-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 560",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014516",
            "telephone_number": "713-839-7111",
            "fax_number": "713-839-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MANUEL",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "609964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.