Individual
MANISH K. WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18400 KATY FWY, STE 470, HOUSTON, TX 77094
(281) 492-7827
(281) 646-1416
Mailing address
10740 N GESSNER DR, STE 310, HOUSTON, TX 77064-1240
(281) 897-0416
(281) 890-8908
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L2051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115016
BEECHSTREET
TX
05
—
144649401
—
TX
05
—
144649402
—
TX
Enumeration date
09/29/2005
Last updated
08/09/2021
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