Provider Demographics
NPI:1437118924
Name:MOLANO-MANRIQUE, ENRIQUE (MD)
Entity Type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:
Last Name:MOLANO-MANRIQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 E SOUTHMORE AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-1134
Mailing Address - Country:US
Mailing Address - Phone:713-477-6913
Mailing Address - Fax:
Practice Address - Street 1:908 E SOUTHMORE AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1134
Practice Address - Country:US
Practice Address - Phone:713-477-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine