NPI age
18 years
Enumerated 2007-09-12
● Active
Type 1 · Individual
MR. Raymond Pampolina Manahan, IDC
Manahan is 1 of 1 military health care provider providers in Portland and 1 of 142 in Texas.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 142 active military health care provider providers in Texas.
NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
1% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Practice location
905 La Mirada
Portland, TX 783744130
Mailing address
905 La Mirada
Portland, TX 783744130
Specialties
-
Military Health Care Provider PrimaryAn Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.