MR. IDRIS SHOAGA (NPI# 1255739157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255739157 |
Entity Type | Individual |
Full Name | MR. IDRIS SHOAGA |
Credential | PA-C |
Practice Address |
1875 County Road 101 Suite 170 Manvel TX 77578 |
Practice Telephone | 2816929770 |
Practice Fax Number | 2816929771 |
Mailing Telephone | 2816929770 |
Mailing Fax Number | 2816929771 |
Enumeration Date | 2014-12-09 |
Last Update Date | 2020-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA09503 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1875 COUNTY ROAD 101 SUITE 170 |
City | MANVEL |
State | TX |
Zip Code | 77578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013557297 | Apt Urgent Care, LLC | Clinic/Center | 1875 County Road 101 Suite 170, Manvel, TX 77578 | 2020-01-15 |
1508328899 | Abimbola Olutimehin, Pllc | Dentist | 19433 Morris Ave, Ste. 120, Manvel, TX 77578 | 2019-04-04 |
1306331863 | Three 60 Degree Entities LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Santa Barbara Dr, Manvel, TX 77578 | 2018-06-27 |
1306338744 | Live To Move LLC | Physical Therapist | 11540 Magnolia Parkway, Suite G, Manvel, TX 77578 | 2018-06-01 |
1316458805 | Erica Meeks | Nurse Practitioner | 3606 Apple Grove Drive, Manvel, TX 77578 | 2017-10-24 |
1710335351 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4489 County Road 94, Manvel, TX 77578 | 2016-05-24 |
1982050449 | Amoye Healthcare Services, Inc | Home Health | 38 Terra Bella Dr, Manvel, TX 77578 | 2016-05-13 |
1235509878 | Loynecia Renee Wilkerson | Pharmacist | 12315 Fm 1960 E, Huffman, TX 77578 | 2015-09-25 |
1083095921 | Jerry Cao | Optometrist | 19433 Morris Ave Ste 110, Manvel, TX 77578 | 2015-06-16 |
1093993842 | Nestor A Vecinal | Massage Therapist | 10937 County Road 67, Manvel, TX 77578 | 2008-02-04 |
Find all providers in zip 77578 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. IDRIS SHOAGA.
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.