Provider Demographics
NPI:1851999817
Name:LINARES, JOHN MANUEL (NP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MANUEL
Last Name:LINARES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11400 SPACE CENTER BLVD APT 8105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3637
Mailing Address - Country:US
Mailing Address - Phone:713-382-0008
Mailing Address - Fax:541-240-2160
Practice Address - Street 1:13630 BEAMER RD STE 109
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6038
Practice Address - Country:US
Practice Address - Phone:713-382-0008
Practice Address - Fax:541-240-2160
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2024-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
146L00000X, 261QM1300X
TX1016216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty