Individual
JASON J MANAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13635 MICHEL RD, TOMBALL, TX 77375-6410
(281) 351-7261
(281) 351-2515
Mailing address
13635 MICHEL RD, TOMBALL, TX 77375-6410
(281) 351-7261
(281) 351-2515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05008
LICENSE
TX
Enumeration date
01/24/2007
Last updated
02/17/2012
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