Individual
MANIRAKIZA HIYARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NEMT
Contact information
Practice address
926 BRIGHT LOTUS LANE, ROSHARON, TX 77583
(281) 546-6799
Mailing address
926 BRIGHT LOTUS LANE, ROSHARON, TX 77583
(281) 546-6799
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12231351
—
TX
Enumeration date
08/05/2020
Last updated
08/05/2020
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