| Doctor Name: | DR. NICOLAS MANRIQUEZ |
| NPI Number: | 1023281581 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1861 |
| Business Practice Address: | 21222 Kingsland Blvd Katy, TX - 774505898 |
| Business Phone Number: | 2813441715 |
| Business Fax Number: | |
| Mailing Address: | 909 Frostwood Dr, Suite 1.100 HOUSTON |
| State: | TX |
| Postal Code: | 770242301 |
| Phone Number: | 2813441715 |
| Fax Number: | 7133385500 |
| NPI Enumeration Date: | 04/04/2008 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1861 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |