DR. MARY MANUEL (NPI# 1518962364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518962364 |
| Entity Type | Individual |
| Full Name | DR. MARY MANUEL |
| Credential | MD |
| Practice Address |
710 S 8th St Beaumont TX 77701-4642 |
| Practice Telephone | 4098389944 |
| Practice Fax Number | 4098389086 |
| Mailing Telephone | 4098389944 |
| Mailing Fax Number | 4098389086 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | F1135 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 00ER04 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388599 | Mary Manuel | Nurse Practitioner | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2005-09-27 |
| 1043829633 | Mary Manuel | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1053878587 | Mary Kate Manuel | Physical Medicine & Rehabilitation | 1613 Oakwood St, Bedford, VA 24523-1213 | 2019-02-20 |
| 1932263324 | Mary Ann Manuel | Audiologist-Hearing Aid Fitter | 4801 Wilson Rd, Suite A, Bakersfield, CA 93309 | 2006-12-20 |
| 1356376065 | Mary Meaux Manuel | Physician Assistant | 155 Hospital Dr, Suite 100, Lafayette, LA 70503-2852 | 2006-07-11 |
| Street Address |
710 S 8TH ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557866 | Manuel Maria-soosai | Urology | 710 S 8th St, Ste A, Beaumont, TX 77701-4680 | 2005-06-13 |
| 1619915048 | Ruby L Holloway | Specialist | 710 S 8th St, Suite B, Beaumont, TX 77701-4642 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008280 | Robert Codey Bell | Pediatrics | 3560 Delaware St Ste 1202, Beaumont, TX 77706 | 2012-06-17 |
| 1154505295 | Raja Ataya M.d. | Pediatrics | 3070 College St # 302, Beaumont, TX 77701-4691 | 2007-12-26 |
| 1912189747 | Sharda J. Doshi, M.d.pa | Pediatrics | 2929 Calder Ave, Suite 300, Beaumont, TX 77702-1845 | 2007-12-04 |
| 1144393810 | Robert B Dundas Md Pa | Pediatrics | 810 Hospital Dr Ste 301, Beaumont, TX 77701-4635 | 2006-11-17 |
| 1700981164 | Joseph Parker Derrick Sr. | Pediatrics | 3480 Fannin Street, Ste D, Beaumont, TX 77701-3804 | 2006-09-13 |
| 1811902307 | Elias N Ezike | Pediatrics | 710 S 8th St Ste A, Beaumont, TX 77701-4680 | 2006-07-31 |
| 1245200781 | Shahid I Rafiq | Pediatrics | 490 Ih 10 N, Ste # 100, Beaumont, TX 77702 | 2006-01-26 |
| 1831171792 | Carl J Hubbell | Pediatrics | 3127 College St, Beaumont, TX 77701-4609 | 2005-11-16 |
| 1518957471 | Jorge Washington Black | Pediatrics | 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | 2005-10-24 |
| 1457355992 | Sharda J. Doshi | Pediatrics | 3455 Stagg Dr, Beaumont, TX 77701 | 2005-06-13 |
| 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.