Mansoor, Shadan

Mansoor, Shadan is an individual health care provider with primary practice located at 11805 South Fwy Ste 201 , Burleson TX 76028-7220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Mansoor, Shadan can be contacted via phone (817) 551-5312.

Contact Information

Primary practice address
11805 South Fwy Ste 201 Burleson TX 76028-7220
Phone: (817) 551-5312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M1226 Texas

Profile Details

NPI number 1679523088
LBN Legal business name Mansoor, Shadan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679523088 NPPES
Texas Other 8M2993 BCBS
Texas MEDICAID 1736241-01 BCBS
Texas MEDICAID 1736241-02 BCBS

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