Organization
MANOR FAMILY PRACTICE, PLLC
Active
Other names
Manor Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN RUIZ M.D. (MEMBER)
(512) 535-4787
Entity
Organization
Contact information
Practice address
14001 SHADOW GLEN BLVD, SUITE G, MANOR, TX 78653-3386
(512) 535-4787
Mailing address
14001 SHADOW GLEN BLVD, SUITE G, MANOR, TX 78653-3386
(512) 535-4787
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N0419
TX
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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