OrganizationActive
Manor Family Practice, PLLC
NPI 1154761559 · Primary Care Clinic/Center · Manor, TX
Provider details
- NPI number
- 1154761559
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marilyn Ruiz, Member(512) 535-4787
- License
- N0419 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14001 Shadow Glen Blvd
Suite G
Manor, TX 78653-3386
Phone: (512) 535-4787
Street-level locationGet directions
Mailing address
14001 Shadow Glen Blvd
Manor, TX 78653-3386
Other names (DBA / former)
- Doing business as
- Manor Family Practice
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2013-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.