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Individual

DR. NICOLAS MANRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
24556 KINGSLAND BLVD, KATY, TX 77494-2301
(281) 609-8100
(281) 574-3675
Mailing address
24556 KINGSLAND BLVD, KATY, TX 77494-2301
(281) 609-8100
(281) 574-3675

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1861
TX
213ES0131X
Foot Surgery Podiatrist
1861
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194299701
MEDICAID PIN
TX
05
194299701
TX
05
194299702
TX
05
194299703
TX
05
194299704
TX
05
194299705
TX
01
5476250001
MEDICARE NSC
TX
Enumeration date
04/04/2008
Last updated
09/30/2024
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