MR. JEFFERY RAY MANZER (NPI# 1144791963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144791963 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY RAY MANZER |
| Credential | MED |
| Practice Address |
3350 Dowlen Rd Suite J Beaumont TX 77707 |
| Mailing Address |
5434 Oakwood Dr Kountze TX 77625-7197 |
| Practice Telephone | 4098131116 |
| Mailing Telephone | 4097820291 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
79252 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3350 DOWLEN RD SUITE J |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| 1679945059 | Riceland Home Health, LLC | Home Health | 85 I-10 Frontage Road, Suite 100, Beaumont, TX 77707 | 2015-10-26 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516436 | Gregory Mark Adams | Counselor | 3739 N Major Dr, Beaumont, TX 77713-9514 | 2020-07-30 |
| 1467078543 | Danielle Leigh Smith | Counselor | 4810 Ward St, Beaumont, TX 77705-4421 | 2020-06-24 |
| 1801431895 | Michelle Isabel Ocegueda | Counselor | 36644 Bay Hill Dr, Beaumont, CA 92223-8021 | 2019-11-13 |
| 1023677978 | Cassie Michelle Campbell | Counselor | 1661 Milford Way, Beaumont, CA 92223-3237 | 2019-06-12 |
| 1225695190 | Tavia James | Counselor | 7980 Gladys Ave, Beaumont, TX 77706-3188 | 2019-05-25 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1649727652 | Sean Martin | Counselor | 2626 Calder St Ste 204, Beaumont, TX 77702-1926 | 2016-09-07 |
| 1487108551 | Ebonee Munoz | Counselor | 5640 Kingswood Dr, Beaumont, TX 77708-4031 | 2016-08-06 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.