THERESA MANRIQUEZ (NPI# 1578170791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578170791 |
| Entity Type | Individual |
| Full Name | THERESA MANRIQUEZ |
| Credential | PA-C |
| Practice Address |
300 Beardsley Ln Ste 200 Austin TX 78746-4945 |
| Mailing Address |
4646 Mueller Blvd Apt 1076 Austin TX 78723-3094 |
| Practice Telephone | 5124441414 |
| Mailing Telephone | 4097192982 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
PA13127 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
300 BEARDSLEY LN STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741556 | Fora Fertility, Pllc | Obstetrics & Gynecology | 2200 Pecos St, Austin, TX 78703-2124 | 2020-05-07 |
| 1659575223 | Summer Leigh James | Obstetrics & Gynecology | 6500 N Mopac Expy Bldg I, Suite 1200, Austin, TX 78731-3282 | 2007-06-14 |
| 1710085089 | Austin Endometriosis & Female Infertility Center Pa | Obstetrics & Gynecology | 4303 James Casey St, Suite A, Austin, TX 78145-1188 | 2006-09-20 |
| 1033185855 | Kaylen Mark Silverberg | Obstetrics & Gynecology | 6500 North Mopac, Bldg I, Suite 1200, Austin, TX 78731 | 2006-02-23 |
| 1336114305 | Anthony Mark Propst | Obstetrics & Gynecology | 6500 N Mopac Expressway Bldg 1 Suite 1200, Austin, TX 78731-7873 | 2006-02-22 |
| 1295349041 | Aspire Fertility Institute, Inc. | Obstetrics & Gynecology | 911 W 38th St Ste 402, Austin, TX 78705-1122 | 2020-08-31 |
| 1689954745 | Westlake Ivf | Obstetrics & Gynecology | 300 Beardsley Ln, Bldg B, Ste 200, Austin, TX 78746-4945 | 2011-08-22 |
| 1659687275 | Amanda Skillern | Obstetrics & Gynecology | 715 W 34th St, Austin, TX 78705-1223 | 2010-08-19 |
| 1083934830 | Austin Fertility Institute, Pa | Obstetrics & Gynecology | 2200 Park Bend Dr, Bldg. 2 - Suite 204, Austin, TX 78758-5387 | 2010-06-03 |
| 1114186533 | Natalie Minns Crawford | Obstetrics & Gynecology | 715 W 34th St, Austin, TX 78705-1223 | 2008-06-02 |
| Find all providers in AUSTIN | ||||
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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.