GUSTAVO A. MANRIQUE LSA NPI 1205132982

NPI Information

NPI: 1205132982
Provider Name: GUSTAVO A. MANRIQUE, LSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2131 HAROLD ST
HOUSTON, TX
ZIP 77098
Phone: (713) 900-9069
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Gustavo A. Manrique, LSA is a surgical physician assistant in Houston, TX. Gustavo A. Manrique, LSA NPI is 1205132982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2131 HAROLD ST
HOUSTON, TX
ZIP 77098-401
Phone: (713) 900-9069

The enumeration date for this NPI number is 1/28/2011 and was last updated on 10/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	SA00437	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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