Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | L8122 | TX |
N | 2081P2900X | Pain Medicine | L8122 | TX |
NPI | 1164442778 |
---|---|
Provider Name | Nashin Manohar |
First Address | Mcallen, TX 78502-3569 |
Second Address | Edinburg, TX 78539-8301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
170077502 | (05) | TX |
H20777 | (02) | TX |