Healthcare Provider Details

I. General information

NPI: 1679492003
Provider Name (Legal Business Name): MANVEL EMERGENCY CENTER PHYSICIAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17518 HIGHWAY 6
MANVEL TX
77578-3749
US

IV. Provider business mailing address

1006 W 22ND ST
HOUSTON TX
77008-1804
US

V. Phone/Fax

Practice location:
  • Phone: 281-712-8033
  • Fax:
Mailing address:
  • Phone: 561-718-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN JOSEPH
Title or Position: MANAGING PARTNER
Credential:
Phone: 561-718-5509