Provider Demographics
NPI:1710048970
Name:MANNING, AVA ERIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AVA
Middle Name:ERIN
Last Name:MANNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1980
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-335-0335
Mailing Address - Fax:713-335-0333
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1980
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-335-0335
Practice Address - Fax:713-335-0333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1657207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147344901Medicaid
TX147344901Medicaid
TX8319N3Medicare ID - Type Unspecified