MEDICARE: JOHN MANUEL LINARES NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic
2	261QM1300X	Multi-Specialty Clinic/Center
3	363LF0000X	Family Nurse Practitioner	1016216	TX

General Provider Information

NPI Number	:	1851999817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MANUEL LINARES NP

Provider Business Mailing Address
First Line	:	11400 SPACE CENTER BLVD APT 8105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3637
Country	:	US
Telephone Number	:	713-382-0008
Fax Number	:	541-240-2160

Provider Business Practice Location Address
First Line	:	13630 BEAMER RD STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6038
Country	:	US
Telephone Number	:	713-382-0008
Fax Number	:	541-240-2160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	11/18/2024

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