MR. IDRIS SHOAGA


Address: 1875 County Road 101, Suite 170, Manvel, TX 77578
Phone: 2816929770

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA09503 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1875 COUNTY ROAD 101
SUITE 170
City MANVEL
State TX
Zip Code 77578

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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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
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Competitor

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City MANVEL
Zip Code 77578

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Dataset Information

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.

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