Individual
MR. IDRIS SHOAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1875 COUNTY ROAD 101, SUITE 170, MANVEL, TX 77578
(281) 692-9770
(281) 692-9771
Mailing address
1875 COUNTY ROAD 101, SUITE 170, MANVEL, TX 77578
(281) 692-9770
(281) 692-9771
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09503
TX
Other
Enumeration date
12/09/2014
Last updated
04/10/2020
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