| Dr Mohamed Mansour, | |
|
21398 Provincial Blvd, Katy, TX 77450-7580 | |
| (346) 707-8978 | |
| (313) 457-1003 |
| Full Name | Dr Mohamed Mansour |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 21398 Provincial Blvd, Katy, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871809442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301105543 (Michigan) | Secondary |
| 208D00000X | General Practice | S4342 (Texas) | Primary |
| Entity Name | Apex Physician Associates Of Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174929186 PECOS PAC ID: 3779809884 Enrollment ID: O20150309001839 |
| Entity Name | Senior Care Providers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841824489 PECOS PAC ID: 2567890585 Enrollment ID: O20200325000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed Mansour, 1910 Aspley Ct, Houston, TX 77094-3431 Ph: () - | Dr Mohamed Mansour, 21398 Provincial Blvd, Katy, TX 77450-7580 Ph: (346) 707-8978 |
Dr. David Paul Sheridan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 20214 Braidwood Dr Ste 215, Katy, TX 77450 Phone: 281-579-3600 | |
Dr. Laura D. Edwards, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 848 Dominion Dr Ste 200, Katy, TX 77450 Phone: 281-578-5479 Fax: 281-578-9704 | |
Dr. Edward Fred Bartsch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5207 E 5th St, Katy, TX 77493 Phone: 281-391-3185 Fax: 281-391-3749 | |
Dr. Steven Forrest Hotze, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 20214 Braidwood Dr Ste 215, Katy, TX 77450 Phone: 281-579-3600 Fax: 281-579-2467 | |
Dr. Iyad K Radwan, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 411 Park Grove, Suite #620, Katy, TX 77450 Phone: 832-645-4038 Fax: 832-675-9861 |