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Organization
MANUEL HABABAG, MD, PA
Active
Organization
MANUEL HABABAG, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL B HABABAG MD (OWNER)
(409) 883-6052
Entity
Organization
Contact information
Practice address
3321 RIDGEMONT DR, ORANGE, TX 77630-4235
(409) 883-6052
Mailing address
3321 RIDGEMONT DR, ORANGE, TX 77630-4235
(409) 883-6052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133123303
—
TX
05
—
133123306
—
TX
Enumeration date
05/25/2011
Last updated
05/25/2011
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