# THE FAMILY PRACTICE CLINIC OF MANVEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962644278
- **Authorized official:** DR. STEPHEN C. JANECEK M.D. (PHYSICIAN)
- **Authorized official phone:** (281) 489-8780

## Contact information

- **Practice address:** 7523 RUSSELL ST, MANVEL, TX 77578-4809
- **Practice address phone:** (281) 489-8780
- **Practice address fax:** (281) 489-9577
- **Mailing address:** 7523 RUSSELL ST, MANVEL, TX 77578-4809
- **Mailing address phone:** (281) 489-8780
- **Mailing address fax:** (281) 489-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | H3898 | TX | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009
