NPIMap

Organization Active NPI

The Family Practice Clinic of Manvel

  • Case Manager/Care Coordinator
  • Manvel, TX
National Provider Identifier
1962644278
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
H3898 Issued in TX
Legal business name
THE FAMILY PRACTICE CLINIC OF MANVEL
Practice address
7523 Russell St
Manvel, TX 77578-4809
Phone
(281) 489-8780
Fax
(281) 489-9577
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Stephen C. Janecek, M.D.
Title
Physician
Phone
(281) 489-8780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X H3898 TX Primary

Addresses

Primary practice location

7523 Russell St
Manvel, TX 77578-4809

Mailing address

7523 Russell St
Manvel, TX 77578-4809
Phone (281) 489-8780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1962644278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 RUSSELL ST",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784809",
            "telephone_number": "281-489-8780",
            "fax_number": "281-489-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 RUSSELL ST",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784809",
            "telephone_number": "281-489-8780",
            "fax_number": "281-489-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PRACTICE CLINIC OF MANVEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "JANECEK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-489-8780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "H3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.