Manuel Griego Jr. DO PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

F1604 Issued in TX

Legal business name

MANUEL GRIEGO JR. DO PA

Practice address

2701 S Hampton Rd
Suite 104
Dallas, TX 75224-2367

Phone

(214) 330-9221

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Manuel Griego Jr., DO

Title

Ceo/President

Phone

(214) 580-7277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metroplex Rehabilitation Centre Doing business as

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1952500142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024014",
            "telephone_number": "214-580-7277",
            "fax_number": "214-580-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242367",
            "telephone_number": "214-330-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL GRIEGO JR. DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GRIEGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-580-7277",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "F1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000HL68",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metroplex Rehabilitation Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mantsch
• Manuel Griego Jr DO PA
• Manuel Griego Jr DO PA
• Manuel Griego Jr DO PA
• Manuel Griego Jr. DO PA
• Manuel Griego, Jr. D.O., P.a.
• Manuel Tellez, D.O., P.a.
• Cherlindra Lenell Manus, BS, QMHP
• Kangamwirai Manyanga, PMHNP-BC
• Jose Manzanilla, CRNA

• Physical Medicine & Rehabilitation Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.