Eron Grant Manusov in Harlingen - Sports Medicine
Eron Grant Manusov - NPI 1477523447
Eron Grant Manusov is a Sports Medicine in Harlingen, Texas. Eron Grant Manusov practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Eron Grant Manusov is 1477523447. The last update date is 2021-04-20.
Eron Grant Manusov's current location address is 2102 Treasure Hills Blvd., #1.326, Harlingen, Texas. You can contact this provider via phone number 9562961519 and fax number 9562961331. The mailing address for Eron Grant Manusov is 2102 Treasure Hills Blvd., #1.326, Harlingen, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eron Grant Manusov |
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Address | 2102 Treasure Hills Blvd., #1.326, Harlingen, Texas |
Phone Number | 9562961519 |
Fax Number | 9562961331 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1477523447 |
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Provider Enumeration Date | 2006-01-24 |
Last Updated Date | 2021-04-20 |
Provider Mailing Address Detail
Address | 2102 Treasure Hills Blvd., #1.326 |
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City | Harlingen |
State | Texas (TX) |
Post Code | 78550 |
Phone Number | 9562961519 |
Fax Number | 9562961331 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | G87762 |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
337122104 | TX | -- | |
H08FR76401 | TX | BCBS | |
337122105 | TX | MEDICAID - CSHCN |
Post Comment/ Review Below
What is the Eron Grant Manusov's 1477523447?
The Eron Grant Manusov's NPI (National Provider Identifier) Number is 1477523447. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Eron Grant Manusov is physically located?
The Eron Grant Manusov is situated at the following address: 2102 Treasure Hills Blvd., #1.326, Harlingen, TX 78550.
What is Eron Grant Manusov's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eron Grant Manusov is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477523447 to Eron Grant Manusov?
The Centers for Medicare & Medicaid Services originally issued the 1477523447 to Eron Grant Manusov on 2006-01-24.
As of what date were the details related to Eron Grant Manusov most recently updated or revised?
The information pertaining to Eron Grant Manusov, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-20.