ERON GRANT MANUSOV (NPI# 1477523447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477523447 |
| Entity Type | Individual |
| Full Name | ERON GRANT MANUSOV |
| Credential | MD |
| Practice Address |
2106 Treasure Hills Blvd # 1.326 Harlingen TX 78550-8736 |
| Mailing Address |
2102 Treasure Hills Blvd # 3.14406 Harlingen TX 78550-8736 |
| Practice Telephone | 9562961519 |
| Practice Fax Number | 9562961331 |
| Mailing Telephone | 9562961437 |
| Mailing Fax Number | 9562966842 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P8943 | TX | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
9800625 | NC | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME105964 | FL | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
G87762 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 337122104 | 05 | |
| TX | MEDICAID - CSHCN | 337122105 | 01 |
| TX | BCBS | H08FR76401 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 E Dove Ave, Mcallen, TX 785043974 | 9563623520 | 9563623529 |
| 2810 W Expressway 83, Mercedes, TX 785709704 | 9567349067 | 9567349068 |
| 723 Santa Isabel Blvd, Laguna Vista, TX 785782647 | 9562965889 | 9562965885 |
| Street Address |
2106 TREASURE HILLS BLVD # 1.326 |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550-8736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465722 | Amy Wicke | Physician Assistant | 2106 Treasure Hills Blvd # 1.326, Harlingen, TX 78550-8736 | 2005-05-23 |
| 1437638525 | The University of Texas Rio Grande Valley | Family Medicine | 2106 Treasure Hills Blvd # 1.326, Harlingen, TX 78550-8736 | 2018-08-09 |
| 1568984466 | Cynthia Michelle Garza | Psychologist | 2106 Treasure Hills Blvd # 1.326, Harlingen, TX 78550-8736 | 2017-07-12 |
| 1912074162 | Frank G. Gilliam Jr. | Psychiatry & Neurology | 2106 Treasure Hills Blvd # 1.326, Harlingen, TX 78550-8736 | 2006-11-30 |
| 1639118813 | Christopher Evan Olson | Orthopaedic Surgery | 2106 Treasure Hills Blvd # 1.326, Harlingen, TX 78550-8736 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249989 | Doctor's Direct | Family Medicine | 630 N Ed Carey Dr Ste 200, Harlingen, TX 78550-7987 | 2020-06-08 |
| 1689211500 | Georginne Mabasa Lim | Family Medicine | 4606 Karime Ave, Harlingen, TX 78552-2739 | 2019-12-10 |
| 1639714199 | Hartman Advanced Practice, Pllc | Family Medicine | 1814 Elmwood, Telemedicine Office, Harlingen, TX 78550-8000 | 2019-11-08 |
| 1730641986 | Rosalio Padilla | Family Medicine | 23873 N Stuart Place Rd, Harlingen, TX 78552-2417 | 2019-04-04 |
| 1245787910 | Texas Federal Wellness Center of Harlingen | Family Medicine | 8002 W Expressway 83, Suite A, Harlingen, TX 78552-6435 | 2016-09-09 |
| 1356717821 | Samuel Landero Md Pa | Family Medicine | 1821 S Sesame Sq Ste 2, Harlingen, TX 78550-7941 | 2015-08-19 |
| 1942571252 | Marin Family Medicine | Family Medicine | 218 Palm Valley Dr W, Harlingen, TX 78552-8948 | 2012-01-18 |
| 1790083020 | Peter Alan Lazzopina | Family Medicine | 224 E Jackson St, Harlingen, TX 78550-6848 | 2011-03-10 |
| 1124354683 | Luis Calo, Md, Pa | Family Medicine | 802 South Loop 499, Suite 4, Harlingen, TX 78550 | 2009-10-19 |
| 1851557201 | Nataraj Desai | Family Medicine | 512 Victoria Lane Suite 12, Harlingen, TX 78550 | 2008-08-05 |
| Find all providers in HARLINGEN | ||||
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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.