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Dr. Amanda Mansouri, MD
General Practice Physician in Austin, Texas
NPI 1407205354

Amanda Mansouri is a General Practice Physician based in Austin, TX. Amanda Mansouri practices in Austin, TX and has the professional credentials of MD. The NPI Number for Amanda Mansouri is 1407205354 and holds a License No. 62255 (Texas).

The current practice location address for Amanda Mansouri is 4701 Monterey Oaks Blvd Apt 325, Austin, TX and can be reached out via phone at 865-274-1074.

Location: 4701 Monterey Oaks Blvd Apt 325, Austin, TX, 78749-1083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407205354
Provider Name
Amanda Mansouri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4701 Monterey Oaks Blvd Apt 325, Austin, TX, 78749-1083
Phone Number
865-274-1074
Fax Number
Provider Enumeration Date
06/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4701 Monterey Oaks Blvd Apt 325
City
Austin
State
Texas
Zip
78749-1083
Phone Number
865-274-1074
Fax Number
person
Provider Business Mailing Address Details
Address
4701 Monterey Oaks Blvd Apt 325
City
Austin
State
Texas
Zip
78749-1083
Phone Number
865-274-1074
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
62255 (Tennessee)
Definition
Definition to come...
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