| Manuel Hababag, Md, Pa | |
|
3321 Ridgemont Dr Orange TX 77630-4235 | |
| (409) 883-6052 | |
| Not Available |
| Full Name | Manuel Hababag, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3321 Ridgemont Dr, Orange, Texas |
| Authorized Official Name and Position | Manuel B Hababag (OWNER) |
| Authorized Official Contact | 4098836052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Hababag, Md, Pa 3321 Ridgemont Dr Orange TX 77630-4235 Ph: (409) 883-6052 | Manuel Hababag, Md, Pa 3321 Ridgemont Dr Orange TX 77630-4235 Ph: (409) 883-6052 |
| NPI Number | 1134412034 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Medicare PECOS PAC ID | 8426235607 |
|---|---|
| Medicare Enrollment ID | O20110616000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134412034 | NPI | - | NPPES |
| 133123306 | Medicaid | TX | |
| 133123303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J5339 (Texas) | Primary |
| Provider Name | Manuel B Hababag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356319776 PECOS PAC ID: 6507043783 Enrollment ID: I20110616000145 |
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