Individual
DR. MANAF A ALROUMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 SOUTHWEST FWY, STE 1052, HOUSTON, TX 77074
(979) 299-0091
(979) 285-9430
Mailing address
450 THIS WAY ST STE B, LAKE JACKSON, TX 77566-5152
(979) 297-2220
(979) 297-3330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250506
NY
207RN0300X
Nephrology Physician
Primary
M9796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184043106
—
TX
05
—
184043107
—
TX
05
—
184043108
—
TX
01
—
258767YWN1
MEDICARE GRP MEMBER PTAN
TX
Enumeration date
10/13/2006
Last updated
07/07/2021
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