Individual
BRIAN MANEEVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVENUE, SUITE B3200, EL PASO, TX 79905
(915) 545-7330
Mailing address
5430 SPANISH OAK DR, HOUSTON, TX 77066-2823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10028121
TX
207P00000X
Emergency Medicine Physician
Primary
N5833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376738286
BCBS TX
TX
01
—
1376738286
TRICARE SOUTH
—
05
—
215528501
—
TX
01
—
8CK829
BCBS TX
—
Enumeration date
09/13/2007
Last updated
06/25/2013
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